Randolph, Bruce Wendell
Randolph, Bruce Wendell is an individual health care provider with primary practice located at 3960 Knight Arnold Rd Suite 103, Memphis TN 38118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Randolph, Bruce Wendell can be contacted via phone (901) 547-1911.Contact Information
Primary practice address
3960 Knight Arnold Rd Suite 103
Memphis TN 38118
Phone: (901) 547-1911
Fax: (901) 547-1905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 27686 | Tennessee |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 10835 | Mississippi |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 16897 | Oklahoma |
Profile Details
| NPI number | 1538235171 |
|---|---|
| LBN Legal business name | Randolph, Bruce Wendell |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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