Thomas, Randall Kent

Thomas, Randall Kent is an sole proprietor health care provider with primary practice located at 2501 N 74Th St , Scottsdale AZ 85257-1502. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Thomas, Randall Kent can be contacted via phone (480) 484-6836.

Contact Information

Primary practice address
2501 N 74Th St Scottsdale AZ 85257-1502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1043357007
LBN Legal business name Thomas, Randall Kent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 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 1043357007 NPPES
Arizona MEDICAID 629157

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