Dodge, Randy

Dodge, Randy is an individual health care provider with primary practice located at 911 Mill Stream Ln , Lynchburg VA 24502-4222. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Dodge, Randy can be contacted via phone (772) 925-9667.

Contact Information

Primary practice address
911 Mill Stream Ln Lynchburg VA 24502-4222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 2306601877 Virginia

Profile Details

NPI number 1316313133
LBN Legal business name Dodge, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2015
Last updated Aug 16th, 2015 - about 10 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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