Randal, David

Randal, David is an individual health care provider with primary practice located at Park Nicollet Clinic Idc 3800 Park Nicollet Blvd, St Louis Park MN 55416. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randal, David can be contacted via phone (952) 993-3393.

Contact Information

Primary practice address
Park Nicollet Clinic Idc 3800 Park Nicollet Blvd St Louis Park MN 55416
Phone: (952) 993-3393
Fax: (952) 993-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2548 Minnesota

Profile Details

NPI number 1275519795
LBN Legal business name Randal, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - 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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