Randall, Richard R

Randall, Richard R is an sole proprietor health care provider with primary practice located at 401 Lowell Dr Se Suite 10, Huntsville AL 35801-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Randall, Richard R can be contacted via phone (256) 535-5948.

Contact Information

Primary practice address
401 Lowell Dr Se Suite 10 Huntsville AL 35801-3748
Fax: (256) 535-5951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20661 Alabama

Profile Details

NPI number 1326029679
LBN Legal business name Randall, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Dec 14th, 2009 - about 16 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 1326029679 NPPES
Alabama MEDICAID 000096070
Alabama Other 51096070
Alabama Other 0005671483
Alabama Other 020046829
Alabama Other 631247522

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