Randazzo, Janine
Randazzo, Janine is an individual health care provider with primary practice located at 2300 Robious Station Cir , Midlothian VA 23113-2124. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Randazzo, Janine can be contacted via phone (804) 897-2900.Contact Information
Primary practice address
2300 Robious Station Cir
Midlothian VA 23113-2124
Phone: (804) 897-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401411243 | Virginia |
| Dental Providers / General Practice | 1223G0001X | 047961 | New York |
Profile Details
| NPI number | 1740257039 |
|---|---|
| LBN Legal business name | Randazzo, Janine |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2006 |
| Last updated | Dec 17th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740257039 | NPPES |
| Virginia | Other | 9179573 | DORAL |
| Virginia | MEDICAID | 02667196 | DORAL |
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