Joransen, Randall Scott

Joransen, Randall Scott is an individual health care provider with primary practice located at 2024 15Th St Fl 2 , Meridian MS 39301-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Joransen, Randall Scott can be contacted via phone (601) 553-2000.

Contact Information

Primary practice address
2024 15Th St Fl 2 Meridian MS 39301-4130
Fax: (601) 553-2140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14689 Mississippi

Profile Details

NPI number 1407858541
LBN Legal business name Joransen, Randall Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 10th, 2013 - about 11 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 1407858541 NPPES
Mississippi MEDICAID 06724502

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