Randall, Kalvin

Randall, Kalvin is an sole proprietor health care provider with primary practice located at 980 Islington St , Toledo OH 43610-1245. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Randall, Kalvin can be contacted via phone (419) 699-3552.

Contact Information

Primary practice address
980 Islington St Toledo OH 43610-1245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1588079537
LBN Legal business name Randall, Kalvin
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2014
Last updated Jun 29th, 2014 - about 11 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 1588079537 NPPES
Ohio MEDICAID 2940741

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