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
Fax: (916) 703-5011
Website:

Health care specialties

SpecialtyCodeLicense #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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