Randall, Rachelle

Randall, Rachelle is an sole proprietor health care provider with primary practice located at 600 Fort St Ste 100 , Port Huron MI 48060-3942. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Randall, Rachelle can be contacted via phone (810) 987-9871.

Contact Information

Primary practice address
600 Fort St Ste 100 Port Huron MI 48060-3942
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901400467 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5951001077 Michigan

Profile Details

NPI number 1558855155
LBN Legal business name Randall, Rachelle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2018
Last updated Apr 11th, 2024 - about 2 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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