King, Randall Neil

King, Randall Neil is an sole proprietor health care provider with primary practice located at 2821 74Th St , Lubbock TX 79423-1437. 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. King, Randall Neil can be contacted via phone (806) 745-7878.

Contact Information

Primary practice address
2821 74Th St Lubbock TX 79423-1437
Phone: (806) 745-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 50317 Texas

Profile Details

NPI number 1639256746
LBN Legal business name King, Randall Neil
Credentials BC-HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Aug 8th, 2012 - about 12 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 1639256746 NPPES
Texas MEDICAID 50317

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