Stewart, Randall

Stewart, Randall is an sole proprietor health care provider with primary practice located at 2413 Professional Dr , Rocky Mount NC 27804-2254. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stewart, Randall can be contacted via phone (252) 443-0808.

Contact Information

Primary practice address
2413 Professional Dr Rocky Mount NC 27804-2254
Phone: (252) 443-0808
Fax: (252) 451-9032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 673 North Carolina

Profile Details

NPI number 1053414839
LBN Legal business name Stewart, Randall
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Dec 8th, 2008 - 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 1053414839 NPPES
North Carolina Other 0781P BCBS

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