Randleman, Mark Edward

Randleman, Mark Edward is an individual health care provider with primary practice located at 1111 6Th Ave Emergency Medicine, Des Moines IA 50314-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Randleman, Mark Edward can be contacted via phone (515) 247-4445.

Contact Information

Primary practice address
1111 6Th Ave Emergency Medicine Des Moines IA 50314-2610
Fax: (515) 643-8933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1997 Iowa

Profile Details

NPI number 1518948389
LBN Legal business name Randleman, Mark Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1518948389 NPPES
Iowa MEDICAID 3208447

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