Jones, Randel R

Jones, Randel R is an individual health care provider with primary practice located at 3C Cleveland Court , Greenville SC 29607. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jones, Randel R can be contacted via phone (864) 232-6216.

Contact Information

Primary practice address
3C Cleveland Court Greenville SC 29607
Fax: (864) 235-6369
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 124 South Carolina

Profile Details

NPI number 1457427619
LBN Legal business name Jones, Randel R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457427619 NPPES
South Carolina MEDICAID PS0001

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