Randall, Scot
Randall, Scot is an individual health care provider with primary practice located at 111 Lansing St Suite 100, Charlotte MI 48813-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Randall, Scot can be contacted via phone (517) 541-5962.Contact Information
Primary practice address
111 Lansing St Suite 100
Charlotte MI 48813-2400
Phone: (517) 541-5962
Fax: (517) 541-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | SR011391 | Michigan |
Profile Details
| NPI number | 1881611465 |
|---|---|
| LBN Legal business name | Randall, Scot |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 11th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881611465 | NPPES |
| Michigan | MEDICAID | 4574654 | |
| Michigan | Other | 200000002577 |
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