Randall, Marcus Eddie

Randall, Marcus Eddie is an individual health care provider with primary practice located at 800 Rose Street Department Of Radiation Medicine, Lexington KY 40536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Randall, Marcus Eddie can be contacted via phone (859) 257-7618.

Contact Information

Primary practice address
800 Rose Street Department Of Radiation Medicine Lexington KY 40536
Phone: (859) 257-7618
Fax: (859) 257-7483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01042349A North Carolina
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 40518 Kentucky

Profile Details

NPI number 1487641700
LBN Legal business name Randall, Marcus Eddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Dec 12th, 2022 - about 4 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 1487641700 NPPES
North Carolina Other 70124 BCBS NC
North Carolina MEDICAID 8970124 BCBS NC

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