Harrison, Randolph S
Harrison, Randolph S is an sole proprietor health care provider with primary practice located at 2480 Llewellyn Ave , Fort George G Meade MD 20755-7081. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harrison, Randolph S can be contacted via phone (301) 677-8798.Contact Information
Primary practice address
2480 Llewellyn Ave
Fort George G Meade MD 20755-7081
Phone: (301) 677-8798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1070437 | Florida |
Profile Details
| NPI number | 1104962620 |
|---|---|
| LBN Legal business name | Harrison, Randolph S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 15th, 2024 - about 2 months 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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