Niblett, Randy L
Niblett, Randy L is an individual health care provider with primary practice located at 2209 Genesee Street , Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Niblett, Randy L can be contacted via phone (315) 798-8171.Contact Information
Primary practice address
2209 Genesee Street
Utica NY 13501-5930
Phone: (315) 798-8171
Fax: (315) 734-3064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24386 | Oklahoma |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 262720 | New York |
Profile Details
| NPI number | 1154304434 |
|---|---|
| LBN Legal business name | Niblett, Randy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Nov 30th, 2011 - about 13 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 | 1154304434 | NPPES |
| Oklahoma | Other | P000274709 | RAILROAD MEDICARE |
| Oklahoma | Other | 248523231 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 200057370A | RAILROAD MEDICARE |
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