Randall, Thomas R.

Randall, Thomas R. is an individual health care provider with primary practice located at 1275 N High St , Hillsboro OH 45133-8273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Randall, Thomas R. can be contacted via phone (937) 393-6140.

Contact Information

Primary practice address
1275 N High St Hillsboro OH 45133-8273
Phone: (937) 393-6140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-073247 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.073247 Ohio

Profile Details

NPI number 1326012832
LBN Legal business name Randall, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 8th, 2024 - about 9 months 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 1326012832 NPPES
Ohio Other 000000344443 ANTHEM BCBS
Ohio Other P00190832 ANTHEM BCBS
Ohio MEDICAID 2418155 ANTHEM BCBS

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