Randolph, James G

Randolph, James G is an sole proprietor health care provider with primary practice located at 151 S 6Thst , Worland WY 82401-3339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Randolph, James G can be contacted via phone (307) 347-8262.

Contact Information

Primary practice address
151 S 6Thst Worland WY 82401-3339
Fax: (307) 347-8265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5211A Wyoming

Profile Details

NPI number 1699754283
LBN Legal business name Randolph, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Jul 22nd, 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 1699754283 NPPES
Other 200016320 RAILROAD MEDICARE
MEDICAID 102379900 RAILROAD MEDICARE
Other 308041 RAILROAD MEDICARE

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