Duckert, Randall T

Duckert, Randall T is an individual health care provider with primary practice located at 815 N Kansas Ave Ste 100, Hastings NE 68901-4470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Duckert, Randall T can be contacted via phone (402) 460-5899.

Contact Information

Primary practice address
815 N Kansas Ave Ste 100 Hastings NE 68901-4470
Phone: (402) 460-5899
Fax: (402) 460-5898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 20144 Nebraska

Profile Details

NPI number 1376508960
LBN Legal business name Duckert, Randall T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 8th, 2022 - about 4 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 1376508960 NPPES
Iowa MEDICAID 1376508960
Iowa MEDICAID 470376604-02
Iowa Other P00060114
Iowa MEDICAID 100257759

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