Halley, Randall E

Halley, Randall E is an individual health care provider with primary practice located at 2101 Corona Rd Ste 102, Columbia MO 65203-2582. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Halley, Randall E can be contacted via phone (573) 234-1800.

Contact Information

Primary practice address
2101 Corona Rd Ste 102 Columbia MO 65203-2582
Phone: (573) 234-1800
Fax: (573) 234-1799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9D75 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X R9D75 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X R9D75 Missouri

Profile Details

NPI number 1245232693
LBN Legal business name Halley, Randall E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 28th, 2019 - about 5 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 1245232693 NPPES
Missouri MEDICAID 241991223
Missouri MEDICAID 241991231
Missouri Other CJ9303
Missouri Other 080184553
Missouri MEDICAID 1245232693
Missouri Other P00221221

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