Patkin, Randall
Patkin, Randall is an individual health care provider with primary practice located at 400 Highland Ave Suite 20, Salem MA 01970-7003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Patkin, Randall can be contacted via phone (978) 744-1177.Contact Information
Primary practice address
400 Highland Ave Suite 20
Salem MA 01970-7003
Phone: (978) 744-1177
Fax: (978) 910-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 70754 | Massachusetts |
Profile Details
| NPI number | 1366447864 |
|---|---|
| LBN Legal business name | Patkin, Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 30th, 2021 - about 3 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 | 1366447864 | NPPES |
| Massachusetts | MEDICAID | 3047288 |
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