Ruppel, Randall Allen

Ruppel, Randall Allen is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Ruppel, Randall Allen can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101251186 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101251186 Virginia

Profile Details

NPI number 1598749384
LBN Legal business name Ruppel, Randall Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Mar 28th, 2016 - about 8 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 1598749384 NPPES
Indiana MEDICAID 200363710

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