Morgan, Randolph Allan
Morgan, Randolph Allan is an sole proprietor health care provider with primary practice located at 615 E 2Nd St , Newberg OR 97132-3100. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Morgan, Randolph Allan can be contacted via phone (503) 538-7717.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5451 | Oregon |
Profile Details
| NPI number | 1376507277 |
|---|---|
| LBN Legal business name | Morgan, Randolph Allan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Nov 9th, 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 | 1376507277 | NPPES |
| Oregon | MEDICAID | 018887 |
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