Randolph, Mary
Randolph, Mary is an individual health care provider with primary practice located at 497 West 4Th Street , Dove Creek CO 81324-0368. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Randolph, Mary can be contacted via phone (970) 677-2387.Contact Information
Primary practice address
497 West 4Th Street
Dove Creek CO 81324-0368
Phone: (970) 677-2387
Fax: (970) 677-2948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 115016 | Colorado |
Profile Details
| NPI number | 1396005443 |
|---|---|
| LBN Legal business name | Randolph, Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2012 |
| Last updated | May 23rd, 2012 - about 12 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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