Tibbs, Randall
Tibbs, Randall is an individual health care provider with primary practice located at 929 Franklin St Se , Huntsville AL 35801-4301. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Tibbs, Randall can be contacted via phone (256) 533-3624.Contact Information
Primary practice address
929 Franklin St Se
Huntsville AL 35801-4301
Phone: (256) 533-3624
Fax: (256) 534-9176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 283 | Alabama |
Profile Details
| NPI number | 1376561787 |
|---|---|
| LBN Legal business name | Tibbs, Randall |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 22nd, 2011 - about 13 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 | 1376561787 | NPPES |
| Alabama | Other | 70009 | :BLUE CROSS |
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