Randall, Jeffrey C

Randall, Jeffrey C is an individual health care provider with primary practice located at 6265 Rock Chalk Dr Ste 1500 , Lawrence KS 66049-5232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Randall, Jeffrey C can be contacted via phone (785) 843-9125.

Contact Information

Primary practice address
6265 Rock Chalk Dr Ste 1500 Lawrence KS 66049-5232
Phone: (785) 843-9125
Fax: (785) 505-5312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0425975 Kansas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0425975 Kansas

Profile Details

NPI number 1467410811
LBN Legal business name Randall, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 11th, 2023 - about 2 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 1467410811 NPPES
Kansas MEDICAID 30004240780001
Kansas MEDICAID 100279030A

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