Ironside, Randall Ray
Ironside, Randall Ray is an individual health care provider with primary practice located at 3625 W Chestnut St , Rogers AR 72756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ironside, Randall Ray can be contacted via phone (479) 631-3955.Contact Information
Primary practice address
3625 W Chestnut St
Rogers AR 72756
Phone: (479) 631-3955
Fax: (479) 631-0152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT396 | Arkansas |
Profile Details
| NPI number | 1962473421 |
|---|---|
| LBN Legal business name | Ironside, Randall Ray |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 6th, 2008 - about 18 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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