Doan, C. Randall

Doan, C. Randall is an individual health care provider with primary practice located at 1456 Kaderly St Nw , New Philadelphia OH 44663-1243. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Doan, C. Randall can be contacted via phone (330) 364-8665.

Contact Information

Primary practice address
1456 Kaderly St Nw New Philadelphia OH 44663-1243
Phone: (330) 364-8665
Fax: (330) 364-8667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 15013 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 15013 Ohio

Profile Details

NPI number 1598731697
LBN Legal business name Doan, C. Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 8th, 2011 - about 15 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 1598731697 NPPES
Ohio Other 43-00059 UNITED HEALTHCARE
Ohio Other 487716 UNITED HEALTHCARE
Ohio MEDICAID 0472653 UNITED HEALTHCARE

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