Spangle, Randall P.

Spangle, Randall P. is an individual health care provider with primary practice located at 502 Main St W Ste 305 , Ashland WI 54806-1512. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Spangle, Randall P. can be contacted via phone (715) 682-5207.

Contact Information

Primary practice address
502 Main St W Ste 305 Ashland WI 54806-1512
Phone: (715) 682-5207
Fax: (715) 682-5209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7044-135 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 72-132 Wisconsin

Profile Details

NPI number 1871613943
LBN Legal business name Spangle, Randall P.
Credentials CSAC, ICS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871613943 NPPES
Wisconsin MEDICAID 39317500

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