Henthorn, Randall Wayne
Henthorn, Randall Wayne is an individual health care provider with primary practice located at 750 Ne 13Th St Oac 200, Oklahoma City OK 73104-5010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Henthorn, Randall Wayne can be contacted via phone (405) 271-4351.Contact Information
Primary practice address
750 Ne 13Th St Oac 200
Oklahoma City OK 73104-5010
Phone: (405) 271-4351
Fax: (405) 271-8695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 11470 | Oklahoma |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11470 | Oklahoma |
Profile Details
| NPI number | 1508858804 |
|---|---|
| LBN Legal business name | Henthorn, Randall Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 13th, 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 | 1508858804 | NPPES |
| Other | 352500500 | US DEPT OF LAOR/OWCP | |
| Other | 050080210 | US DEPT OF LAOR/OWCP | |
| Other | 731590295004 | US DEPT OF LAOR/OWCP | |
| Other | 731069171007 | US DEPT OF LAOR/OWCP |
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