Smith, Randall W

Smith, Randall W is an individual health care provider with primary practice located at 1725 E Prospect Rd , Fort Collins CO 80525-1307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Randall W can be contacted via phone (970) 221-2222.

Contact Information

Primary practice address
1725 E Prospect Rd Fort Collins CO 80525-1307
Fax: (970) 221-4286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35476 Colorado

Profile Details

NPI number 1649276627
LBN Legal business name Smith, Randall W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 25th, 2007 - about 17 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 1649276627 NPPES
Colorado MEDICAID 01354760

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