Fenton, Randall Clark

Fenton, Randall Clark is an individual health care provider with primary practice located at 29 Stiles Rd Suite 301, Salem NH 03079-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fenton, Randall Clark can be contacted via phone (603) 870-5452.

Contact Information

Primary practice address
29 Stiles Rd Suite 301 Salem NH 03079-5802
Phone: (603) 870-5452
Fax: (603) 870-5449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9962 New Hampshire

Profile Details

NPI number 1629077359
LBN Legal business name Fenton, Randall Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 8th, 2016 - about 9 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 1629077359 NPPES
Other 753299 TUFTS HEALTHPLAN
Other 407866 TUFTS HEALTHPLAN
Other J17896 TUFTS HEALTHPLAN
Other 66951 TUFTS HEALTHPLAN
Other 0100419YPNH01 TUFTS HEALTHPLAN
Other 71838 TUFTS HEALTHPLAN
Other 2637002 TUFTS HEALTHPLAN

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