Randolph, Katie Beatric

Randolph, Katie Beatric is an sole proprietor health care provider with primary practice located at 1151 Taylor St Detroit Health Dept. - Herman Kiefer Health Complex, Detroit MI 48202-1732. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Randolph, Katie Beatric can be contacted via phone (313) 876-4322.

Contact Information

Primary practice address
1151 Taylor St Detroit Health Dept. - Herman Kiefer Health Complex Detroit MI 48202-1732
Phone: (313) 876-4322
Fax: (313) 876-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 4704115117 Michigan

Profile Details

NPI number 1194849943
LBN Legal business name Randolph, Katie Beatric
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
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.

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