Hendricks, Randall L.

Hendricks, Randall L. is an individual health care provider with primary practice located at 2488 E 81St St Ste 290 , Tulsa OK 74137-4265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hendricks, Randall L. can be contacted via phone (918) 494-2665.

Contact Information

Primary practice address
2488 E 81St St Ste 290 Tulsa OK 74137-4265
Phone: (918) 494-2665
Fax: (918) 927-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 16238 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16238 Oklahoma

Profile Details

NPI number 1932182870
LBN Legal business name Hendricks, Randall L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 19th, 2020 - about 4 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 1932182870 NPPES
Oklahoma MEDICAID 100191740A

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