Knutson, Randall Brian

Knutson, Randall Brian is an individual health care provider with primary practice located at 32199 Sandpiper Dr , Orange Beach AL 36561-5735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Knutson, Randall Brian can be contacted via phone (251) 504-1174.

Contact Information

Primary practice address
32199 Sandpiper Dr Orange Beach AL 36561-5735
Phone: (251) 504-1174
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28126 Alabama

Profile Details

NPI number 1689614679
LBN Legal business name Knutson, Randall Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 16th, 2009 - about 15 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 1689614679 NPPES
Alabama MEDICAID 009910240

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