Cantrell, Randall Kenneth
Cantrell, Randall Kenneth is an sole proprietor health care provider with primary practice located at 8902 Orby Cantrell Hwy , Pound VA 24279-3216. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Cantrell, Randall Kenneth can be contacted via phone (276) 796-5789.Contact Information
Primary practice address
8902 Orby Cantrell Hwy
Pound VA 24279-3216
Phone: (276) 796-5789
Fax: (276) 796-5789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 2705030223 | Virginia |
Profile Details
| NPI number | 1689712010 |
|---|---|
| LBN Legal business name | Cantrell, Randall Kenneth |
| Credentials | GENERAL CONTRACTOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689712010 | NPPES |
| Virginia | MEDICAID | 010277388 |
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