Law, Randall James
Law, Randall James is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Law, Randall James can be contacted via phone (208) 419-3002.Contact Information
Primary practice address
2001 S Woodruff Ave Ste 9
Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | PA1797 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1108 | South Dakota |
Profile Details
NPI number | 1134647019 |
---|---|
LBN Legal business name | Law, Randall James |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2017 |
Last updated | Aug 2nd, 2021 - about 3 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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