Knight, Randolph R

Knight, Randolph R is an individual health care provider with primary practice located at 5 S Main St Ste 302 , White River Junction VT 05001-7146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Knight, Randolph R can be contacted via phone (866) 679-0831.

Contact Information

Primary practice address
5 S Main St Ste 302 White River Junction VT 05001-7146
Fax: (802) 332-3117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042.0014564 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME143693 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10087 New Hampshire

Profile Details

NPI number 1942320106
LBN Legal business name Knight, Randolph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Mar 5th, 2024 - about 8 months 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 1942320106 NPPES
Vermont MEDICAID ORE4593

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