Minor, Randall M.

Minor, Randall M. is an individual health care provider with primary practice located at 301 Tyson Ave Henry County Medical Center Emergency De, Paris TN 38242-4544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Minor, Randall M. can be contacted via phone (731) 644-8445.

Contact Information

Primary practice address
301 Tyson Ave Henry County Medical Center Emergency De Paris TN 38242-4544
Phone: (731) 644-8445
Fax: (731) 644-8446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD025183 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 632449 Tennessee

Profile Details

NPI number 1154373892
LBN Legal business name Minor, Randall M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 3rd, 2015 - about 9 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 1154373892 NPPES
Tennessee Other 3119997 BCBS
Tennessee MEDICAID 3097925 BCBS

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