Shallow, Randy Joe
Shallow, Randy Joe is an sole proprietor health care provider with primary practice located at 24820 Michigan Ave , Dearborn MI 48124-1713. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shallow, Randy Joe can be contacted via phone (313) 277-3766.Contact Information
Primary practice address
24820 Michigan Ave
Dearborn MI 48124-1713
Phone: (313) 277-3766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Michigan |
Profile Details
| NPI number | 1609906866 |
|---|---|
| LBN Legal business name | Shallow, Randy Joe |
| Credentials | CHIROPRACTIC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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