Smith, Randy Jermaine
Smith, Randy Jermaine is an sole proprietor health care provider with primary practice located at 7704 Halle Ave , Cleveland OH 44102-5040. He recently has only one registered license in Agencies / Nursing Care, which is considered as his primary health care specialty. Smith, Randy Jermaine can be contacted via phone (216) 624-2967.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | 401054400310 | Ohio |
Profile Details
| NPI number | 1578274437 |
|---|---|
| LBN Legal business name | Smith, Randy Jermaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2022 |
| Last updated | Dec 12th, 2022 - about 2 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 | 1578274437 | NPPES |
| Ohio | MEDICAID | 0365168 |
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