Niklason, Randy F

Niklason, Randy F is an sole proprietor health care provider with primary practice located at 221 Mahalani St , Wailuku HI 96793-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Niklason, Randy F can be contacted via phone (808) 242-2290.

Contact Information

Primary practice address
221 Mahalani St Wailuku HI 96793-2526
Phone: (808) 242-2290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-6350 Hawaii
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-6350 Hawaii

Profile Details

NPI number 1699713396
LBN Legal business name Niklason, Randy F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Sep 17th, 2010 - about 14 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 1699713396 NPPES
Hawaii MEDICAID 03199801

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