Riley, Randall R

Riley, Randall R is an individual health care provider with primary practice located at 3700 Washington Ave , Evansville IN 47714-0541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Riley, Randall R can be contacted via phone (317) 872-6287.

Contact Information

Primary practice address
3700 Washington Ave Evansville IN 47714-0541
Phone: (317) 872-6287
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044173A Indiana

Profile Details

NPI number 1558355032
LBN Legal business name Riley, Randall R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 2nd, 2023 - about last year

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 1558355032 NPPES
Indiana Other 000000765918 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200472380 ANTHEM PROVIDER NUMBER

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