Sid, Randy
Sid, Randy is an sole proprietor health care provider with primary practice located at 101 Bodin Cir 60 Mdg, Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sid, Randy can be contacted via phone (707) 423-7342.Contact Information
Primary practice address
101 Bodin Cir 60 Mdg
Travis Afb CA 94535-1809
Phone: (707) 423-7342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A89599 | California |
Profile Details
| NPI number | 1144424235 |
|---|---|
| LBN Legal business name | Sid, Randy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Oct 7th, 2013 - about 13 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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