Randall, Marque E

Randall, Marque E is an sole proprietor health care provider with primary practice located at 1300 N 200 E Ste 114-A, Logan UT 84341-2398. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Randall, Marque E can be contacted via phone (435) 753-2687.

Contact Information

Primary practice address
1300 N 200 E Ste 114-A Logan UT 84341-2398
Phone: (435) 753-2687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 52285242501 Utah

Profile Details

NPI number 1457371189
LBN Legal business name Randall, Marque E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 31st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457371189 NPPES
Utah Other 85006 PEHP
Utah Other 107019240103 PEHP
Utah Other 885077 PEHP
Utah Other 52285242501001 PEHP

Popular Providers