West, Randall M
West, Randall M is an sole proprietor health care provider with primary practice located at 1731 Creekside Dr 100, Folsom CA 95630-3457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. West, Randall M can be contacted via phone (916) 984-4100.Contact Information
Primary practice address
1731 Creekside Dr 100
Folsom CA 95630-3457
Phone: (916) 984-4100
Fax: (916) 984-4154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5262 | California |
Profile Details
| NPI number | 1518957562 |
|---|---|
| LBN Legal business name | West, Randall M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 9th, 2015 - about 10 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 | 1518957562 | NPPES |
| California | Other | 20A5262 | LICENSE |
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