Johnson, Randall A
Johnson, Randall A is an individual health care provider with primary practice located at 520 3Rd St Nw , Jamestown ND 58401-2968. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Randall A can be contacted via phone (701) 253-6300.Contact Information
Primary practice address
520 3Rd St Nw
Jamestown ND 58401-2968
Phone: (701) 253-6300
Fax: (701) 253-6400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 92719133 | North Dakota |
Profile Details
| NPI number | 1609980085 |
|---|---|
| LBN Legal business name | Johnson, Randall A |
| Credentials | MS, LPC, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609980085 | NPPES |
| Other | 017997 | BCBS PROVIDER NUMBER |
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