Johanson, Randel Edward

Johanson, Randel Edward is an sole proprietor health care provider with primary practice located at 1722 Mangrove Ave Suite 32, Chico CA 95926-2300. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Johanson, Randel Edward can be contacted via phone (530) 895-1474.

Contact Information

Primary practice address
1722 Mangrove Ave Suite 32 Chico CA 95926-2300
Phone: (530) 895-1474
Fax: (530) 895-1441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X D3437 California

Profile Details

NPI number 1902988074
LBN Legal business name Johanson, Randel Edward
Credentials R.D.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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