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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1417034737 NPPES
Colorado Other 028228 KAISER COMMERCIAL NUMBER

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