Pearson, Randall E
Pearson, Randall E is an individual health care provider with primary practice located at 800 Oak Ridge Turn Pike Suite A-101, Oak Ridge TN 37830-6927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pearson, Randall E can be contacted via phone (865) 483-1093.Contact Information
Primary practice address
800 Oak Ridge Turn Pike Suite A-101
Oak Ridge TN 37830-6927
Phone: (865) 483-1093
Fax: (865) 482-8629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD0000014439 | Tennessee |
Profile Details
| NPI number | 1639179682 |
|---|---|
| LBN Legal business name | Pearson, Randall E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 21st, 2019 - about 5 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 | 1639179682 | NPPES |
| Tennessee | Other | 020247799 | EEOICP |
| Tennessee | Other | 1669416442 | EEOICP |
| Tennessee | Other | 3106049 | EEOICP |
| Tennessee | MEDICAID | 3025129 | EEOICP |
| Tennessee | Other | CI2260 | EEOICP |
| Tennessee | Other | 3106044 | EEOICP |
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