Smith, Randolph Edward

Smith, Randolph Edward is an individual health care provider with primary practice located at 420 W Magnetic St , Marquette MI 49855-2711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Randolph Edward can be contacted via phone (906) 228-9440.

Contact Information

Primary practice address
420 W Magnetic St Marquette MI 49855-2711
Phone: (906) 228-9440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301046452 Michigan

Profile Details

NPI number 1063589216
LBN Legal business name Smith, Randolph Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 4th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063589216 NPPES
Michigan Other 2746496 MOLINA HEALTHCARE
Michigan MEDICAID 34031400 MOLINA HEALTHCARE
Michigan MEDICAID 2746796 MOLINA HEALTHCARE
Michigan Other 1022271 MOLINA HEALTHCARE
Michigan Other 2746796 MOLINA HEALTHCARE

Popular Providers