Haight, Randall Dean

Haight, Randall Dean is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haight, Randall Dean can be contacted via phone (573) 634-2620.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101
Fax: (573) 761-1863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 112157 Missouri

Profile Details

NPI number 1306832266
LBN Legal business name Haight, Randall Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 19th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306832266 NPPES
Missouri Other 110159187 RAILROAD MEDICARE
Missouri MEDICAID 208718916 RAILROAD MEDICARE

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