Silver, Randall M

Silver, Randall M is an sole proprietor health care provider with primary practice located at 1250 Peach St Ste B , San Luis Obispo CA 93401-2869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Silver, Randall M can be contacted via phone (805) 543-4043.

Contact Information

Primary practice address
1250 Peach St Ste B San Luis Obispo CA 93401-2869
Phone: (805) 543-4043
Fax: (805) 543-7640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A5848 California

Profile Details

NPI number 1205827474
LBN Legal business name Silver, Randall M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Nov 3rd, 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 1205827474 NPPES
Other 5484078 AETNA PIN
Other ZZZ56109Y AETNA PIN

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