Randolph, Anne Melissa
Randolph, Anne Melissa is an sole proprietor health care provider with primary practice located at 4091 Coralee Ln , Lafayette CA 94549-3311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Randolph, Anne Melissa can be contacted via phone (925) 283-1927.Contact Information
Primary practice address
4091 Coralee Ln
Lafayette CA 94549-3311
Phone: (925) 283-1927
Fax: (925) 283-1926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9002 | California |
Profile Details
| NPI number | 1558448472 |
|---|---|
| LBN Legal business name | Randolph, Anne Melissa |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558448472 | NPPES |
| California | Other | 94-3346779 | TAX IDENTIFICATION NUMBER |
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