Parent, Craig Randall

Parent, Craig Randall is an sole proprietor health care provider with primary practice located at 3901 Las Posas Rd Suite 102, Camarillo CA 93010-1501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Parent, Craig Randall can be contacted via phone (805) 383-3668.

Contact Information

Primary practice address
3901 Las Posas Rd Suite 102 Camarillo CA 93010-1501
Fax: (805) 383-3661
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4710 California

Profile Details

NPI number 1699779272
LBN Legal business name Parent, Craig Randall
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Oct 14th, 2010 - about 15 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 1699779272 NPPES
California Other E4710 MEDICARE ID

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