White, Randall Glen
White, Randall Glen is an sole proprietor health care provider with primary practice located at 2300 Hospital Dr Ste 120 , Bossier City LA 71111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. White, Randall Glen can be contacted via phone (318) 212-7982.Contact Information
Primary practice address
2300 Hospital Dr Ste 120
Bossier City LA 71111
Phone: (318) 212-7982
Fax: (318) 212-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 313083 | Louisiana |
Profile Details
| NPI number | 1295199016 |
|---|---|
| LBN Legal business name | White, Randall Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Jun 17th, 2021 - about 3 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 | 1295199016 | NPPES |
| Louisiana | MEDICAID | 2417380 |
Popular Providers
-
Menina, Erica
1055 David Dr , Morgan City LA 70380-1300 -
Liu, Ruikang
4481 Viking Dr , Bossier City LA 71111-7414 -
Hughes, Frank B
2400 Hospital Dr Ste 120, Bossier City LA 71111-2386 -
Thorguson, Kimberly
1055 David Dr. , Morgan City LA 70380-1300 -
Holland, Tara Ashley
1514 Doctors Dr , Bossier City LA 71111-3379 -
Edwards, Elise Fontenot
2300 Hospital Dr Ste 120 , Bossier City LA 71111-2193 -
Wilson, Robert Borden
2300 Hospital Dr Ste 120 , Bossier City LA 71111-2193 -
Milner, Lauren
2400 Hospital Dr Suite 120, Bossier City LA 71111-2385