National Provider Identifier Database

ROSETTA RANDOLPH
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

ROSETTA RANDOLPH
15 WYTCHWOOD CT APT T1
BALTIMORE, MD21209-4832
Phone: 410-622-7945
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for ROSETTA RANDOLPH

NPI Number 1447866074
Credentials
Entity Individual
Enumeration date 09/18/2020
Last updated 09/18/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: 82332
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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