Provider Demographics
NPI:1740317643
Name:RANDOLPH DIVISIONS INC.
Entity type:Organization
Organization Name:RANDOLPH DIVISIONS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPANY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RANDOLPH
Authorized Official - Last Name:WOHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-973-1551
Mailing Address - Street 1:615 PIIKOI STREET
Mailing Address - Street 2:SUITE 1111
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-973-1551
Mailing Address - Fax:808-973-1550
Practice Address - Street 1:615 PIIKOI STREET
Practice Address - Street 2:SUITE 1111
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-973-1551
Practice Address - Fax:808-973-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
HI20332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies