Kushner, Randy S
Kushner, Randy S is an individual health care provider with primary practice located at 1600 Haddon Ave , Camden NJ 08103-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Kushner, Randy S can be contacted via phone (856) 757-3836.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MB04980300 | New Jersey |
Profile Details
| NPI number | 1437192564 |
|---|---|
| LBN Legal business name | Kushner, Randy S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 5th, 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 | 1437192564 | NPPES |
| New Jersey | Other | 222041639 | TAX ID |
| New Jersey | Other | 36019 | TAX ID |
| New Jersey | Other | 0009928 | TAX ID |
| New Jersey | Other | 050046259 | TAX ID |
| New Jersey | MEDICAID | 2403501 | TAX ID |
| New Jersey | Other | 0097412000 | TAX ID |
| New Jersey | Other | 1059897 | TAX ID |
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