Panke, Randy L

Panke, Randy L is an individual health care provider with primary practice located at 159 Trout Ave Navsubase Nlon, Groton CT 06349-5159. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Panke, Randy L can be contacted via phone (860) 694-6464.

Contact Information

Primary practice address
159 Trout Ave Navsubase Nlon Groton CT 06349-5159
Phone: (860) 694-6464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285699488
LBN Legal business name Panke, Randy L
Credentials NCCPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 24th, 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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