Midock, Randall L
Midock, Randall L is an individual health care provider with primary practice located at 801 S Loudoun Street , Winchester VA 22601. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Midock, Randall L can be contacted via phone (540) 667-5431.Contact Information
Primary practice address
801 S Loudoun Street
Winchester VA 22601
Phone: (540) 667-5431
Fax: (540) 667-2655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 0803000079 | Virginia |
Profile Details
| NPI number | 1174625750 |
|---|---|
| LBN Legal business name | Midock, Randall L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | May 29th, 2008 - about 16 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 | 1174625750 | NPPES |
| Virginia | Other | 211030 | BLUE CROSS BLUE SHIELD |
| Virginia | Other | 088289 | BLUE CROSS BLUE SHIELD |
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