Randall, Megan L M

Randall, Megan L M is an individual health care provider with primary practice located at 9055 Springbrook Dr Nw , Coon Rapids MN 55433-5841. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Randall, Megan L M can be contacted via phone (763) 780-9155.

Contact Information

Primary practice address
9055 Springbrook Dr Nw Coon Rapids MN 55433-5841
Phone: (763) 780-9155
Fax: (763) 236-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2046 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12046 Minnesota

Profile Details

NPI number 1841650306
LBN Legal business name Randall, Megan L M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2016
Last updated Jul 5th, 2024 - about 2 months 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 1841650306 NPPES
Other 1132616 NCCPA

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