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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1750389482 NPPES
California MEDICAID GR0065470

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