Blank, Randall

Blank, Randall is an individual health care provider with primary practice located at 10877 Conductor Blvd , Sutter Creek CA 95685-9687. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Blank, Randall can be contacted via phone (209) 223-6312.

Contact Information

Primary practice address
10877 Conductor Blvd Sutter Creek CA 95685-9687
Phone: (209) 223-6312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1356884845
LBN Legal business name Blank, Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2016
Last updated Dec 1st, 2016 - about 9 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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