Randell, Timmothy R

Randell, Timmothy R is an individual health care provider with primary practice located at 3444 Masonic Drive , Alexandria LA 71301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Randell, Timmothy R can be contacted via phone (318) 473-9556.

Contact Information

Primary practice address
3444 Masonic Drive Alexandria LA 71301
Phone: (318) 473-9556
Fax: (318) 441-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2014-00216 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10033781 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD208009 Louisiana

Profile Details

NPI number 1245460013
LBN Legal business name Randell, Timmothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Aug 18th, 2023 - about 2 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 1245460013 NPPES
Louisiana MEDICAID 2428543

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