Randall J Slickers, M.D., P.C.

LBN: Randall J Slickers, M.D., P.C.
Randall J Slickers, M.D., P.C. is an health care organization with primary practice located at 1235 Filer Ave E , Twin Falls ID 83301-4118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Randall J Slickers, M.D., P.C. can be contacted via phone (208) 734-3226, or through Slickers, Randall J via phone (208) 734-3226.

Contact Information

Primary practice address
1235 Filer Ave E Twin Falls ID 83301-4118
Phone: (208) 734-3226
Fax: (208) 734-3675
Website:
Map and Directions
Authorized official contact:
Name: Slickers, Randall J Doctor of Medicine (MD)
Phone: (208) 734-3226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1790723690
LBN Legal business name Randall J Slickers, M.D., P.C.
DBA Doing business as
Authorized official Slickers, Randall J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 17th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790723690 NPPES
Idaho Other 080105158 RR MEDICARE
Idaho MEDICAID 003957900 RR MEDICARE

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