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
Phone: (573) 634-2620
Fax: (573) 761-1863
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306832266 | NPPES |
Missouri | Other | 110159187 | RAILROAD MEDICARE |
Missouri | MEDICAID | 208718916 | RAILROAD MEDICARE |
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