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
Phone: (304) 925-4777
Fax: (304) 925-4780
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255395273 | NPPES |
| West Virginia | MEDICAID | 0042952-000 | |
| West Virginia | Other | P00058528 | |
| West Virginia | MEDICAID | 0042952000 |
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