Stange, Randall Paul

Stange, Randall Paul is an individual health care provider with primary practice located at 721 8Th St Se , Orange City IA 51041-7451. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stange, Randall Paul can be contacted via phone (712) 737-6824.

Contact Information

Primary practice address
721 8Th St Se Orange City IA 51041-7451
Fax: (712) 737-6426
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04789 Iowa

Profile Details

NPI number 1194748137
LBN Legal business name Stange, Randall Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 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 1194748137 NPPES
Iowa MEDICAID 2183491
Iowa Other 4671

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