Jester, Randy L

Jester, Randy L is an sole proprietor health care provider with primary practice located at 29800 Bradley Rd Suite 114, Sun City CA 92586-6520. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Jester, Randy L can be contacted via phone (951) 246-8229.

Contact Information

Primary practice address
29800 Bradley Rd Suite 114 Sun City CA 92586-6520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA1572 California

Profile Details

NPI number 1306063334
LBN Legal business name Jester, Randy L
Credentials HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated May 4th, 2009 - about 16 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 1306063334 NPPES
California Other ZZZ80008Z CA STATE ID NUMBER
California Other 611671400 CA STATE ID NUMBER

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