Grodi, Randy H

Grodi, Randy H is an sole proprietor health care provider with primary practice located at 750 S Monroe St , Monroe MI 48161-1433. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grodi, Randy H can be contacted via phone (734) 639-2262.

Contact Information

Primary practice address
750 S Monroe St Monroe MI 48161-1433
Fax: (734) 264-4114
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301007925 Michigan

Profile Details

NPI number 1821121716
LBN Legal business name Grodi, Randy H
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Mar 29th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821121716 NPPES
Michigan Other 0E84509 BLUE CROSS PROVIDER ID

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