Owen, Randall Lee
Owen, Randall Lee is an individual health care provider with primary practice located at 9 Washington Ave , Hamden CT 06518-3267. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Owen, Randall Lee can be contacted via phone (203) 865-6784.Contact Information
Primary practice address
9 Washington Ave
Hamden CT 06518-3267
Phone: (203) 865-6784
Fax: (203) 865-6788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA056252 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110004314 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 23.003095 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 23.003095 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 23.003095 | Connecticut |
Profile Details
| NPI number | 1437591971 |
|---|---|
| LBN Legal business name | Owen, Randall Lee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2013 |
| Last updated | Jun 29th, 2021 - about 5 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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