Randall, Derrick
Randall, Derrick is an individual health care provider with primary practice located at 2521 Stockton Blvd # 7200 , Sacramento CA 95817-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Randall, Derrick can be contacted via phone (916) 734-2801.Contact Information
Primary practice address
2521 Stockton Blvd # 7200
Sacramento CA 95817-2207
Phone: (916) 734-2801
Fax: (916) 703-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 137743 | California |
Profile Details
| NPI number | 1366828790 |
|---|---|
| LBN Legal business name | Randall, Derrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2015 |
| Last updated | Aug 7th, 2015 - about 11 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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