White-Randall, Elizabeth C.

White-Randall, Elizabeth C. is an individual health care provider with primary practice located at 76 High St , Lewiston ME 04240-7649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. White-Randall, Elizabeth C. can be contacted via phone (207) 795-2800.

Contact Information

Primary practice address
76 High St Lewiston ME 04240-7649
Phone: (207) 795-2800
Fax: (207) 795-2808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 012395 Maine

Profile Details

NPI number 1497761365
LBN Legal business name White-Randall, Elizabeth C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 14th, 2014 - 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 1497761365 NPPES
Maine MEDICAID 213170099

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