Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY ALLEN WHITE, PROVIDER
Active Sole ProprietorMR. RANDY ALLEN WHITE, PROVIDER is a Exclusive Provider Organization healthcare provider located in BAINBRIDGE, Ohio. NPI 1730300906 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · BAINBRIDGE, OH
Registration Details
- NPI Number
- 1730300906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.307798408218 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2316621 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 WEST THIRD STREEET212 WEST THIRD STREETBAINBRIDGE, OH, 45612Browse OH providers · Browse ZIP 45612
- Phone
- 7406342495
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.