Randall Dermatology, Pc

LBN: Randall Dermatology, Pc
Randall Dermatology, Pc is an health care organization with primary practice located at 124 Sagamore Pkwy W , West Lafayette Bra IN 47906-1569. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Randall Dermatology, Pc can be contacted via phone (765) 463-6722, or through Randall, John K via phone (765) 463-6722.

Contact Information

Primary practice address
124 Sagamore Pkwy W West Lafayette Bra IN 47906-1569
Phone: (765) 463-6722
Fax: (765) 463-0905
Website:
Map and Directions
Authorized official contact:
Name: Randall, John K RPH,MD
Phone: (765) 463-6722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01042716 Indiana
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01042716 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000699A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001017A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Indiana

Profile Details

NPI number 1245340488
LBN Legal business name Randall Dermatology, Pc
DBA Doing business as
Authorized official Randall, John K RPH,MD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers