Hantke, David Randall
Hantke, David Randall is an sole proprietor health care provider with primary practice located at 2807 Loma Vista Rd Suite 103, Ventura CA 93003-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hantke, David Randall can be contacted via phone (805) 648-7222.Contact Information
Primary practice address
2807 Loma Vista Rd Suite 103
Ventura CA 93003-1500
Phone: (805) 648-7222
Fax: (805) 648-7235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G48701 | California |
Profile Details
| NPI number | 1982823688 |
|---|---|
| LBN Legal business name | Hantke, David Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 17th, 2012 - about 12 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 | 1982823688 | NPPES |
| California | MEDICAID | 00G487010 | |
| California | Other | 00G487010 | |
| California | Other | 040014777 | |
| California | Other | WG48701C | |
| California | Other | 06B6953 | |
| California | Other | DH0826 | |
| California | Other | G48701 |
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