Ross, Randolph J

Ross, Randolph J is an individual health care provider with primary practice located at 2 Morgans Lndg , Hattiesburg MS 39402-8722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ross, Randolph J can be contacted via phone (601) 268-0258.

Contact Information

Primary practice address
2 Morgans Lndg Hattiesburg MS 39402-8722
Phone: (601) 268-0258
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 08965 Mississippi

Profile Details

NPI number 1518076157
LBN Legal business name Ross, Randolph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 3rd, 2022 - about 3 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 1518076157 NPPES
Mississippi MEDICAID 00011237
Mississippi MEDICAID 1311634
Mississippi Other 340001326
Mississippi Other 1558974

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