Smith, Randall N

Smith, Randall N is an individual health care provider with primary practice located at 9140 Academy Rd Suite A, Philadelphia PA 19114-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Randall N can be contacted via phone (215) 333-9999.

Contact Information

Primary practice address
9140 Academy Rd Suite A Philadelphia PA 19114-2853
Phone: (215) 333-9999
Fax: (215) 333-9815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD015723E Pennsylvania

Profile Details

NPI number 1427056555
LBN Legal business name Smith, Randall N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 19th, 2014 - about 12 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 1427056555 NPPES
Pennsylvania MEDICAID 000779617000

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