Randall, Todd Vincent
Randall, Todd Vincent is an individual health care provider with primary practice located at 3224 Dayton Xenia Rd Suite 120, Beavercreek OH 45434-6481. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Randall, Todd Vincent can be contacted via phone (937) 426-5555.Contact Information
Primary practice address
3224 Dayton Xenia Rd Suite 120
Beavercreek OH 45434-6481
Phone: (937) 426-5555
Fax: (937) 426-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 011055 | Ohio |
Profile Details
| NPI number | 1023191715 |
|---|---|
| LBN Legal business name | Randall, Todd Vincent |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Aug 26th, 2010 - about 16 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 | 1023191715 | NPPES |
| Ohio | Other | 000000360867 | ANTHEM PIN |
| Ohio | MEDICAID | 0108341 | ANTHEM PIN |
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