Randolph, John Franklin
Randolph, John Franklin is an sole proprietor health care provider with primary practice located at 410 E Parkcenter Cir N , San Bernardino CA 92408-2869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Randolph, John Franklin can be contacted via phone (909) 501-9932.Contact Information
Primary practice address
410 E Parkcenter Cir N
San Bernardino CA 92408-2869
Phone: (909) 501-9932
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | G48108 | California |
Profile Details
| NPI number | 1750389482 |
|---|---|
| LBN Legal business name | Randolph, John Franklin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 17th, 2019 - about 6 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 | 1750389482 | NPPES |
| California | MEDICAID | GR0065470 |
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