Bottelson, Randall Andrew

Bottelson, Randall Andrew is an individual health care provider with primary practice located at 601 W 98Th St , Bloomington MN 55420-4715. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Bottelson, Randall Andrew can be contacted via phone (952) 881-2778.

Contact Information

Primary practice address
601 W 98Th St Bloomington MN 55420-4715
Fax: (952) 881-2821
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X Mississippi

Profile Details

NPI number 1801949276
LBN Legal business name Bottelson, Randall Andrew
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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