Short, J Randall

Short, J Randall is an sole proprietor health care provider with primary practice located at 30 Crossing Lane Suite 207, Lexington VA 24450-6354. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Short, J Randall can be contacted via phone (540) 464-5800.

Contact Information

Primary practice address
30 Crossing Lane Suite 207 Lexington VA 24450-6354
Fax: (540) 464-5801
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104000441 Virginia

Profile Details

NPI number 1447357355
LBN Legal business name Short, J Randall
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447357355 NPPES
Virginia Other 063073 ANTHEM BCBS

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