Yassem, Randy Lee

Yassem, Randy Lee is an individual health care provider with primary practice located at 234 Owen Drive Total Rehab Othotics & Prosthetics Inc, Fayetteville NC 28304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Yassem, Randy Lee can be contacted via phone (910) 323-9016.

Contact Information

Primary practice address
234 Owen Drive Total Rehab Othotics & Prosthetics Inc Fayetteville NC 28304
Phone: (910) 323-9016
Fax: (910) 486-8712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1053410845
LBN Legal business name Yassem, Randy Lee
Credentials CP CERT PROSTHETIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 26th, 2011 - about 14 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 1053410845 NPPES
North Carolina MEDICAID 7795106

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