Keifer, J. Randall

Keifer, J. Randall is an individual health care provider with primary practice located at 1343 N Fountain Blvd , Springfield OH 45504-1422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keifer, J. Randall can be contacted via phone (937) 390-5000.

Contact Information

Primary practice address
1343 N Fountain Blvd Springfield OH 45504-1422
Fax: (937) 390-5526
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001816 Ohio

Profile Details

NPI number 1174575641
LBN Legal business name Keifer, J. Randall
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174575641 NPPES
Other P00034014 RAIL ROAD MEDICARE

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