Oliver, Randall Lee

Oliver, Randall Lee is an individual health care provider with primary practice located at 1101 Professional Blvd , Evansville IN 47714-8016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Oliver, Randall Lee can be contacted via phone (812) 477-7246.

Contact Information

Primary practice address
1101 Professional Blvd Evansville IN 47714-8016
Phone: (812) 477-7246
Fax: (812) 477-7240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01029835 Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 1029835 Indiana

Profile Details

NPI number 1356393219
LBN Legal business name Oliver, Randall Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 21st, 2014 - about 12 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 1356393219 NPPES
Indiana Other 10643 HEALTHSOURCE
Indiana Other 169425 HEALTHSOURCE
Indiana Other 351865226-00 HEALTHSOURCE
Indiana Other 0000000386753 HEALTHSOURCE
Indiana Other 1006173 HEALTHSOURCE
Indiana MEDICAID 64872484 HEALTHSOURCE
Indiana Other 000000089152 HEALTHSOURCE
Indiana MEDICAID 100180970A HEALTHSOURCE
Indiana Other 659100 HEALTHSOURCE

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