Villamor, Randolph Chu
Villamor, Randolph Chu is an individual health care provider with primary practice located at 311 Glenwood Dr , Rock Hill SC 29732-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Villamor, Randolph Chu can be contacted via phone (880) 336-6717.Contact Information
Primary practice address
311 Glenwood Dr
Rock Hill SC 29732-1818
Phone: (880) 336-6717
Fax: (803) 366-0529
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24083 | South Carolina |
Profile Details
NPI number | 1851383731 |
---|---|
LBN Legal business name | Villamor, Randolph Chu |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Oct 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851383731 | NPPES |
South Carolina | MEDICAID | 240830 |
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