Paskevich, Randi Jo
Paskevich, Randi Jo is an sole proprietor health care provider with primary practice located at 7317 Cobble Stone Dr , Harrisburg PA 17112-9038. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Paskevich, Randi Jo can be contacted via phone (717) 712-8225.Contact Information
Primary practice address
7317 Cobble Stone Dr
Harrisburg PA 17112-9038
Phone: (717) 712-8225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DN003810 | Pennsylvania |
Profile Details
| NPI number | 1396934212 |
|---|---|
| LBN Legal business name | Paskevich, Randi Jo |
| Credentials | M.ED., R.D., L.D.N. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Sep 12th, 2017 - about 8 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 | 1396934212 | NPPES |
| Pennsylvania | MEDICAID | 1033319210001 |
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