Stickney, Randall Harwood
Stickney, Randall Harwood is an individual health care provider with primary practice located at 4111 S Darlington Ave Suite 700, Tulsa OK 74135-6348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stickney, Randall Harwood can be contacted via phone (918) 747-4975.Contact Information
Primary practice address
4111 S Darlington Ave Suite 700
Tulsa OK 74135-6348
Phone: (918) 747-4975
Fax: (918) 743-9058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 16318 | Oklahoma |
Profile Details
| NPI number | 1811988223 |
|---|---|
| LBN Legal business name | Stickney, Randall Harwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Apr 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811988223 | NPPES |
| Oklahoma | MEDICAID | 100147200A |
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