Haugom, Randee

Haugom, Randee is an individual health care provider with primary practice located at 1401 S Seward Meridian Pkwy , Wasilla AK 99654-8312. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Haugom, Randee can be contacted via phone (907) 631-3520.

Contact Information

Primary practice address
1401 S Seward Meridian Pkwy Wasilla AK 99654-8312
Phone: (907) 631-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1174097786
LBN Legal business name Haugom, Randee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 5 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 1174097786 NPPES
Alaska MEDICAID 1685519

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