Randle, Michael T
Randle, Michael T is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Randle, Michael T can be contacted via phone (970) 350-2438.Contact Information
Primary practice address
1900 16Th St
Greeley CO 80631-5114
Phone: (970) 350-2438
Fax: (970) 350-2473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39374 | Colorado |
Profile Details
| NPI number | 1124006853 |
|---|---|
| LBN Legal business name | Randle, Michael T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 2nd, 2013 - about 11 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 | 1124006853 | NPPES |
| Colorado | MEDICAID | 50483579 | |
| Colorado | Other | P00944796 |
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