Sedlak, Randal M
Sedlak, Randal M is an individual health care provider with primary practice located at 1722 Pine St Ste 503 , Montgomery AL 36106-1160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sedlak, Randal M can be contacted via phone (334) 264-8741.Contact Information
Primary practice address
1722 Pine St Ste 503
Montgomery AL 36106-1160
Phone: (334) 264-8741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 00008204 | Alabama |
Profile Details
| NPI number | 1780733220 |
|---|---|
| LBN Legal business name | Sedlak, Randal M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jan 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780733220 | NPPES |
| Alabama | MEDICAID | 000089004 | |
| Alabama | Other | 51089004 |
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