Randolph, Merinda Doreen
Randolph, Merinda Doreen is an sole proprietor health care provider with primary practice located at 5113 S Jessup Rd , Chesterfield VA 23832-8238. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Randolph, Merinda Doreen can be contacted via phone (804) 908-7687.Contact Information
Primary practice address
5113 S Jessup Rd
Chesterfield VA 23832-8238
Phone: (804) 908-7687
Fax: (888) 745-0938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 471373561 | Virginia |
Profile Details
| NPI number | 1225410327 |
|---|---|
| LBN Legal business name | Randolph, Merinda Doreen |
| Credentials | SERVICE FACIL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Jun 24th, 2015 - about 9 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 | 1225410327 | NPPES |
| Virginia | MEDICAID | 0173936938 |
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