Large, Randy S.
Large, Randy S. is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Large, Randy S. can be contacted via phone (417) 347-3649.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | DR-34380 | Colorado |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 3086 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2010000744 | Missouri |
Profile Details
| NPI number | 1538149778 |
|---|---|
| LBN Legal business name | Large, Randy S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2006 |
| Last updated | Oct 1st, 2010 - about 14 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 | 1538149778 | NPPES |
| Colorado | MEDICAID | 81882556 |
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