Anderson, Randolph

Anderson, Randolph is an sole proprietor health care provider with primary practice located at 5645 Lindsay St , Golden Valley MN 55422-4627. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Randolph can be contacted via phone (763) 331-5167.

Contact Information

Primary practice address
5645 Lindsay St Golden Valley MN 55422-4627
Phone: (763) 331-5167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305346 Minnesota

Profile Details

NPI number 1477185346
LBN Legal business name Anderson, Randolph
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2020
Last updated Mar 5th, 2021 - about 4 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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