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
Phone: (480) 484-6836
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043357007 | NPPES |
Arizona | MEDICAID | 629157 |
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