Norris, John Randolph

Norris, John Randolph is an individual health care provider with primary practice located at 651 Holiday Dr , Pittsburgh PA 15220-2740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Norris, John Randolph can be contacted via phone (412) 922-8490.

Contact Information

Primary practice address
651 Holiday Dr Pittsburgh PA 15220-2740
Fax: (412) 921-1194
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD062341L Pennsylvania

Profile Details

NPI number 1609897115
LBN Legal business name Norris, John Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 29th, 2015 - about 10 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 1609897115 NPPES
Pennsylvania MEDICAID 0016501080004

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