Randall, Craig

Randall, Craig is an sole proprietor health care provider with primary practice located at 525 Branson Landing Blvd , Branson MO 65616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Randall, Craig can be contacted via phone (417) 335-7218.

Contact Information

Primary practice address
525 Branson Landing Blvd Branson MO 65616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.009387 Ohio

Profile Details

NPI number 1992888259
LBN Legal business name Randall, Craig
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992888259 NPPES
Ohio MEDICAID 2984267

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