Swain, Randall Alan

Swain, Randall Alan is an individual health care provider with primary practice located at 4602 Maccorkle Ave Se , Charleston WV 25304-1848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Swain, Randall Alan can be contacted via phone (304) 925-4777.

Contact Information

Primary practice address
4602 Maccorkle Ave Se Charleston WV 25304-1848
Fax: (304) 925-4780
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16120 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16120 West Virginia

Profile Details

NPI number 1255395273
LBN Legal business name Swain, Randall Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 20th, 2012 - about 12 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 1255395273 NPPES
West Virginia MEDICAID 0042952-000
West Virginia Other P00058528
West Virginia MEDICAID 0042952000

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