Miller, Randall

Miller, Randall is an individual health care provider with primary practice located at 1601 Nw 114Th St , Clive IA 50325-7007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Randall can be contacted via phone (515) 222-7000.

Contact Information

Primary practice address
1601 Nw 114Th St Clive IA 50325-7007
Phone: (515) 222-7000
Fax: (515) 222-2737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01813 Iowa

Profile Details

NPI number 1083627236
LBN Legal business name Miller, Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 10th, 2009 - about 17 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 1083627236 NPPES
Iowa Other 068119 WELLMARK-MANAGED CARE
Iowa Other 6271T2 WELLMARK-MANAGED CARE
Iowa MEDICAID 1181123 WELLMARK-MANAGED CARE
Iowa Other 51297 WELLMARK-MANAGED CARE

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