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
Phone: (937) 390-5000
Fax: (937) 390-5526
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174575641 | NPPES |
| Other | P00034014 | RAIL ROAD MEDICARE |
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