Irwin, Randy J
Irwin, Randy J is an individual health care provider with primary practice located at 8433 Harcourt Rd Ste 100 , Indianapolis IN 46260-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Irwin, Randy J can be contacted via phone (317) 583-7600.Contact Information
Primary practice address
8433 Harcourt Rd Ste 100
Indianapolis IN 46260-2193
Phone: (317) 583-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01052908A | Indiana |
Profile Details
| NPI number | 1811916224 |
|---|---|
| LBN Legal business name | Irwin, Randy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811916224 | NPPES |
| Other | 000000176480 | BCBS PIN | |
| MEDICAID | 200316790A | BCBS PIN | |
| Other | 770002539 | BCBS PIN |
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