Palmore, Randolph Harris

Palmore, Randolph Harris is an sole proprietor health care provider with primary practice located at 900 N Hamilton St Suite A, Richmond VA 23221-1204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Palmore, Randolph Harris can be contacted via phone (804) 359-6880.

Contact Information

Primary practice address
900 N Hamilton St Suite A Richmond VA 23221-1204
Fax: (804) 359-0611
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101046848 Virginia

Profile Details

NPI number 1053319608
LBN Legal business name Palmore, Randolph Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jun 17th, 2010 - about 16 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 1053319608 NPPES
Virginia MEDICAID 5635802

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