Lundgren, Randall
Lundgren, Randall is an sole proprietor health care provider with primary practice located at 662 S Ferguson Ave Ste 1 , Bozeman MT 59718. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Lundgren, Randall can be contacted via phone (406) 586-1984.Contact Information
Primary practice address
662 S Ferguson Ave Ste 1
Bozeman MT 59718
Phone: (406) 586-1984
Fax: (406) 551-2049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 708 | Montana |
Profile Details
| NPI number | 1861572224 |
|---|---|
| LBN Legal business name | Lundgren, Randall |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Aug 29th, 2018 - about 6 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 | 1861572224 | NPPES |
| Montana | Other | M011000443 | MEDICARE PTAN |
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