Warren, Randall C

Warren, Randall C is an individual health care provider with primary practice located at 11475 Robinson Dr Nw 21110Q, Coon Rapids MN 55433-3746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Warren, Randall C can be contacted via phone (763) 587-9000.

Contact Information

Primary practice address
11475 Robinson Dr Nw 21110Q Coon Rapids MN 55433-3746
Phone: (763) 587-9000
Fax: (763) 587-9130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25916 Minnesota

Profile Details

NPI number 1538135504
LBN Legal business name Warren, Randall C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Nov 20th, 2013 - 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 1538135504 NPPES
Minnesota MEDICAID 958502800

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