Nacke, Randall
Nacke, Randall is an individual health care provider with primary practice located at 1400 Hwy 61 South Suite 130, Crystal City MO 63019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nacke, Randall can be contacted via phone (636) 937-8855.Contact Information
Primary practice address
1400 Hwy 61 South Suite 130
Crystal City MO 63019
Phone: (636) 937-8855
Fax: (636) 931-6561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | TP10024907 | Texas |
Profile Details
| NPI number | 1093828782 |
|---|---|
| LBN Legal business name | Nacke, Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 19th, 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.
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