Clendenin, Randall W
Clendenin, Randall W is an individual health care provider with primary practice located at 2301 N Church St , Greensboro NC 27405-4309. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Clendenin, Randall W can be contacted via phone (336) 333-9081.Contact Information
Primary practice address
2301 N Church St
Greensboro NC 27405-4309
Phone: (336) 333-9081
Fax: (336) 333-9083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1417009614 |
|---|---|
| LBN Legal business name | Clendenin, Randall W |
| Credentials | CO, C-PED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1417009614 | NPPES |
| North Carolina | MEDICAID | 7795035 |
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