Powers, Randolph S.

Powers, Randolph S. is an individual health care provider with primary practice located at 100 Brooksby Village Dr , Peabody MA 01960-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Powers, Randolph S. can be contacted via phone (978) 536-7850.

Contact Information

Primary practice address
100 Brooksby Village Dr Peabody MA 01960-1438
Phone: (978) 536-7850
Fax: (877) 280-9727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 80799 Massachusetts

Profile Details

NPI number 1962407536
LBN Legal business name Powers, Randolph S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated May 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962407536 NPPES
Other P00602018 RAILROAD MEDICARE
Other 30205089 RAILROAD MEDICARE
Other J31185 RAILROAD MEDICARE
Other 1962407536 RAILROAD MEDICARE
MEDICAID 3139298 RAILROAD MEDICARE
Other AA32263 RAILROAD MEDICARE
Other B07616 RAILROAD MEDICARE
Other 0132658 RAILROAD MEDICARE
Other 07-02617 RAILROAD MEDICARE
Other 0016036 RAILROAD MEDICARE
Other 1440628 RAILROAD MEDICARE
Other 1440628 RAILROAD MEDICARE
Other P00228069 RAILROAD MEDICARE
Other 080799 RAILROAD MEDICARE
Other 968005 RAILROAD MEDICARE

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