Feezell, Randall
Feezell, Randall is an individual health care provider with primary practice located at 5431 W Pinnacle Pointe Dr Ste 104 , Rogers AR 72758-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Feezell, Randall can be contacted via phone (479) 268-6404.Contact Information
Primary practice address
5431 W Pinnacle Pointe Dr Ste 104
Rogers AR 72758-7032
Phone: (479) 268-6404
Fax: (479) 464-0030
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | N-6349 | Arkansas |
Profile Details
NPI number | 1609833854 |
---|---|
LBN Legal business name | Feezell, Randall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | May 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609833854 | NPPES |
Arkansas | MEDICAID | 105885001 |
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