Randall, Charles
Randall, Charles is an individual health care provider with primary practice located at 260 Merrimac St , Newburyport MA 01950-2192. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Randall, Charles can be contacted via phone (978) 499-7200.Contact Information
Primary practice address
260 Merrimac St
Newburyport MA 01950-2192
Phone: (978) 499-7200
Fax: (978) 499-7216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 54597 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54597 | Massachusetts |
Profile Details
| NPI number | 1881699668 |
|---|---|
| LBN Legal business name | Randall, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jun 18th, 2014 - about 10 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 | 1881699668 | NPPES |
| New Hampshire | Other | A59300 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 0014413 | ANTHEM BLUE CROSS |
| New Hampshire | MEDICAID | 110045489A | ANTHEM BLUE CROSS |
| New Hampshire | Other | 974558 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 60720 | ANTHEM BLUE CROSS |
| New Hampshire | Other | J07241 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 48-00612 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 054597 | ANTHEM BLUE CROSS |
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