Moody, Randolph
Moody, Randolph is an sole proprietor health care provider with primary practice located at 290 Front Royal Pike , Winchester VA 22602-7313. 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. Moody, Randolph can be contacted via phone (540) 546-3436.Contact Information
Primary practice address
290 Front Royal Pike
Winchester VA 22602-7313
Phone: (540) 546-3436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1922723956 |
|---|---|
| LBN Legal business name | Moody, Randolph |
| Credentials | B.A CSAC-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2022 |
| Last updated | Oct 12th, 2022 - about 3 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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