Randolph, James Keith

Randolph, James Keith is an individual health care provider with primary practice located at 3404 W Sylvania Ave , Toledo OH 43623-4467. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Randolph, James Keith can be contacted via phone (419) 251-1206.

Contact Information

Primary practice address
3404 W Sylvania Ave Toledo OH 43623-4467
Phone: (419) 251-1206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704229515 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA08155 Ohio

Profile Details

NPI number 1922092485
LBN Legal business name Randolph, James Keith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922092485 NPPES
Ohio MEDICAID 2541379

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