Randall, George Ralph

Randall, George Ralph is an individual health care provider with primary practice located at 310 S Hillside St , Wichita KS 67211-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Randall, George Ralph can be contacted via phone (316) 684-2838.

Contact Information

Primary practice address
310 S Hillside St Wichita KS 67211-2193
Phone: (316) 684-2838
Fax: (316) 684-3326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 17060 Kansas

Profile Details

NPI number 1497756886
LBN Legal business name Randall, George Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - 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 1497756886 NPPES
Other 2745673005 CIGNA
Other 101370 CIGNA
Other 101370 CIGNA
Other 200811 CIGNA
Other 758 CIGNA
Other 10084850B CIGNA
Other 4070797 CIGNA
Other 758 CIGNA

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