Longenecker, Randall L

Longenecker, Randall L is an individual health care provider with primary practice located at 4879 Us Highway 68 S , West Liberty OH 43357-9525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Longenecker, Randall L can be contacted via phone (937) 599-1411.

Contact Information

Primary practice address
4879 Us Highway 68 S West Liberty OH 43357-9525
Phone: (937) 599-1411
Fax: (937) 465-9945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35047479 Ohio

Profile Details

NPI number 1962438630
LBN Legal business name Longenecker, Randall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 11th, 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 1962438630 NPPES
Ohio MEDICAID 0487147

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