North, Randal P
North, Randal P is an individual health care provider with primary practice located at 2070-72 Burnsville Center , Burnsville MN 55306-4438. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. North, Randal P can be contacted via phone (952) 435-3686.Contact Information
Primary practice address
2070-72 Burnsville Center
Burnsville MN 55306-4438
Phone: (952) 435-3686
Fax: (952) 435-3074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2054 | Minnesota |
Profile Details
| NPI number | 1043241698 |
|---|---|
| LBN Legal business name | North, Randal P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jan 17th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043241698 | NPPES |
| Minnesota | MEDICAID | 872312500 |
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