Johnson, Randall Victor

Johnson, Randall Victor is an individual health care provider with primary practice located at Uss West Virginia (Ssbn 736) (Blue) , Fpo AA 34093-2123. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Johnson, Randall Victor can be contacted via phone (912) 674-8685.

Contact Information

Primary practice address
Uss West Virginia (Ssbn 736) (Blue) Fpo AA 34093-2123
Phone: (912) 674-8685
Fax: (912) 573-4534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1245480185
LBN Legal business name Johnson, Randall Victor
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Sep 29th, 2008 - about 16 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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