Drain, Randall Terence
Drain, Randall Terence is an individual health care provider with primary practice located at 4035 Powelton Ave , Philadelphia PA 19104-2262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Drain, Randall Terence can be contacted via phone (215) 471-7000.Contact Information
Primary practice address
4035 Powelton Ave
Philadelphia PA 19104-2262
Phone: (215) 471-7000
Fax: (215) 474-0457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD039729L | Pennsylvania |
Profile Details
| NPI number | 1205901949 |
|---|---|
| LBN Legal business name | Drain, Randall Terence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 11th, 2016 - 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 | 1205901949 | NPPES |
| Pennsylvania | MEDICAID | 1054660 |
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