Homer, Randall Scott

Homer, Randall Scott is an sole proprietor health care provider with primary practice located at 3941 J St Suite 354, Sacramento CA 95819-3624. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Homer, Randall Scott can be contacted via phone (916) 733-6870.

Contact Information

Primary practice address
3941 J St Suite 354 Sacramento CA 95819-3624
Phone: (916) 733-6870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19058 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17075 California

Profile Details

NPI number 1356486021
LBN Legal business name Homer, Randall Scott
Credentials NP, PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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