Sampson, Randall Jay
Sampson, Randall Jay is an sole proprietor health care provider with primary practice located at 24668 Hamlet Ave , Forest Lake MN 55025-8781. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Sampson, Randall Jay can be contacted via phone (612) 290-9056.Contact Information
Primary practice address
24668 Hamlet Ave
Forest Lake MN 55025-8781
Phone: (612) 290-9056
Fax: (651) 464-5671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | BC743839 | Minnesota |
Profile Details
| NPI number | 1295366029 |
|---|---|
| LBN Legal business name | Sampson, Randall Jay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Jan 30th, 2020 - about 4 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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