Miskelly, Randle S
Miskelly, Randle S is an individual health care provider with primary practice located at 1306 Us Highway 45 N , Henderson TN 38340-4003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Miskelly, Randle S can be contacted via phone (731) 989-9899.Contact Information
Primary practice address
1306 Us Highway 45 N
Henderson TN 38340-4003
Phone: (731) 989-9899
Fax: (731) 989-3495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11859 | Tennessee |
Profile Details
| NPI number | 1013948066 |
|---|---|
| LBN Legal business name | Miskelly, Randle S |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Feb 23rd, 2011 - about 15 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 | 1013948066 | NPPES |
| Tennessee | MEDICAID | 3643080 |
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