Johnson, Randy Lee

Johnson, Randy Lee is an sole proprietor health care provider with primary practice located at 824 9Th St N , Sartell MN 56377-2248. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Johnson, Randy Lee can be contacted via phone (320) 290-9506.

Contact Information

Primary practice address
824 9Th St N Sartell MN 56377-2248
Fax: (866) 392-7760
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1497041065
LBN Legal business name Johnson, Randy Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 13 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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