Randolph, Eric D

Randolph, Eric D is an sole proprietor health care provider with primary practice located at 5124 Sierra Blanca Ln , N Las Vegas NV 89031-1081. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Randolph, Eric D can be contacted via phone (702) 636-9662.

Contact Information

Primary practice address
5124 Sierra Blanca Ln N Las Vegas NV 89031-1081
Phone: (702) 636-9662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1407288715
LBN Legal business name Randolph, Eric D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2013
Last updated Aug 8th, 2013 - about 13 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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