Richard, James Randall

Richard, James Randall is an individual health care provider with primary practice located at 2221 Hayes Ave , Fremont OH 43420-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richard, James Randall can be contacted via phone (419) 334-8943.

Contact Information

Primary practice address
2221 Hayes Ave Fremont OH 43420-2632
Phone: (419) 334-8943
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35044926 Ohio

Profile Details

NPI number 1023110335
LBN Legal business name Richard, James Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 28th, 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 1023110335 NPPES
Ohio MEDICAID 0709657

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