National Provider Identifier Database

JACOB R RANDICH, DPM – NPI #1922668755
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JACOB R RANDICH, DPM
203 PLAZA DRIVE
SIKESTON, MO63801
Phone: 573-475-6488
Fax: 573-475-6489
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JACOB R RANDICH

NPI Number 1922668755
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/14/2019
Last updated 11/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 135.001050
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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