Randazzo, Vincenzo
Randazzo, Vincenzo is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Randazzo, Vincenzo can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
10240 Park Meadows Dr
Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | P47669 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.0004065 | Colorado |
Profile Details
| NPI number | 1417034737 |
|---|---|
| LBN Legal business name | Randazzo, Vincenzo |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 27th, 2021 - about 5 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 | 1417034737 | NPPES |
| Colorado | Other | 028228 | KAISER COMMERCIAL NUMBER |
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