Randall, Todd Vincent

Randall, Todd Vincent is an individual health care provider with primary practice located at 3224 Dayton Xenia Rd Suite 120, Beavercreek OH 45434-6481. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Randall, Todd Vincent can be contacted via phone (937) 426-5555.

Contact Information

Primary practice address
3224 Dayton Xenia Rd Suite 120 Beavercreek OH 45434-6481
Phone: (937) 426-5555
Fax: (937) 426-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 011055 Ohio

Profile Details

NPI number 1023191715
LBN Legal business name Randall, Todd Vincent
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 26th, 2010 - about 14 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 1023191715 NPPES
Ohio Other 000000360867 ANTHEM PIN
Ohio MEDICAID 0108341 ANTHEM PIN

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