Gaede, Randall Theodore
Gaede, Randall Theodore is an sole proprietor health care provider with primary practice located at 1400 N Johnson Ave Ste 101 , El Cajon CA 92020-1651. 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. Gaede, Randall Theodore can be contacted via phone (619) 442-0277.Contact Information
Primary practice address
1400 N Johnson Ave Ste 101
El Cajon CA 92020-1651
Phone: (619) 442-0277
Fax: (619) 442-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1033451547 |
|---|---|
| LBN Legal business name | Gaede, Randall Theodore |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2013 |
| Last updated | Mar 22nd, 2013 - about 13 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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