Oftedahl, Randall Verhdek

Oftedahl, Randall Verhdek is an individual health care provider with primary practice located at 744 Park Ave , Cranston RI 02910-2150. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Oftedahl, Randall Verhdek can be contacted via phone (401) 338-7277.

Contact Information

Primary practice address
744 Park Ave Cranston RI 02910-2150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW01913 Rhode Island

Profile Details

NPI number 1821272303
LBN Legal business name Oftedahl, Randall Verhdek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 9th, 2008 - 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 1821272303 NPPES
Rhode Island MEDICAID RO53435

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