Sorrentino, Randall James

Sorrentino, Randall James is an sole proprietor health care provider with primary practice located at 13203 N 103Rd Ave Ste H5 , Sun City AZ 85351-3032. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sorrentino, Randall James can be contacted via phone (623) 777-4747.

Contact Information

Primary practice address
13203 N 103Rd Ave Ste H5 Sun City AZ 85351-3032
Phone: (623) 777-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7209350001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7045160001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7047150001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7046960001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7629170001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7057360001 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 7034950001 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00072600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3649 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-08611 North Carolina

Profile Details

NPI number 1588647374
LBN Legal business name Sorrentino, Randall James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2005
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588647374 NPPES
Arizona Other 3649 ARIZONA LICENSE
Arizona MEDICAID 283684 ARIZONA LICENSE

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