Sulaver, Randy K
Sulaver, Randy K is an individual health care provider with primary practice located at 302 W Hay St Ste 200 , Decatur IL 62526-4171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sulaver, Randy K can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
302 W Hay St Ste 200
Decatur IL 62526-4171
Phone: (217) 545-8000
Fax: (217) 872-1958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 125061943 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036143964 | Illinois |
Profile Details
| NPI number | 1982968756 |
|---|---|
| LBN Legal business name | Sulaver, Randy K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Apr 20th, 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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