Fralick, Randy A
Fralick, Randy A is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Fralick, Randy A can be contacted via phone (209) 524-1211.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G87066 | California |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | G87066 | California |
Allopathic & Osteopathic Physicians / Urology | 208800000X | G87066 | California |
Profile Details
NPI number | 1194773523 |
---|---|
LBN Legal business name | Fralick, Randy A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Jan 4th, 2022 - about 3 years ago |
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 | 1194773523 | NPPES |
California | MEDICAID | 00G870660 |
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