Krystosek, Randall James

Krystosek, Randall James is an individual health care provider with primary practice located at 801 Saint Marys Dr W Suite 300, Evansville IN 47714-0512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Krystosek, Randall James can be contacted via phone (812) 477-9241.

Contact Information

Primary practice address
801 Saint Marys Dr W Suite 300 Evansville IN 47714-0512
Phone: (812) 477-9241
Fax: (812) 474-6708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 1028039A Indiana

Profile Details

NPI number 1083612006
LBN Legal business name Krystosek, Randall James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083612006 NPPES
Kentucky MEDICAID 64755499

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