Randerson, Craig Robert

Randerson, Craig Robert is an sole proprietor health care provider with primary practice located at 150 W 1St St Ste 270 , New Richmond WI 54017-1770. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randerson, Craig Robert can be contacted via phone (715) 246-4840.

Contact Information

Primary practice address
150 W 1St St Ste 270 New Richmond WI 54017-1770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 130965-121 Wisconsin

Profile Details

NPI number 1942700547
LBN Legal business name Randerson, Craig Robert
Credentials MSW, CAPSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2018
Last updated Feb 20th, 2018 - about 7 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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