Plona, Randy Peter

Plona, Randy Peter is an individual health care provider with primary practice located at 960 Clague Rd Ste 1100B , Westlake OH 44145-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Plona, Randy Peter can be contacted via phone (216) 383-0100.

Contact Information

Primary practice address
960 Clague Rd Ste 1100B Westlake OH 44145-1590
Fax: (216) 383-6481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007598P Ohio

Profile Details

NPI number 1699722702
LBN Legal business name Plona, Randy Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated May 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699722702 NPPES
Ohio Other 341542312098 CARESOURCE
Ohio Other 000000392507 CARESOURCE
Ohio MEDICAID 2357248 CARESOURCE
Ohio Other 378646 CARESOURCE
Ohio Other P00401083 CARESOURCE

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