Naeger, Randolf

Naeger, Randolf is an individual health care provider with primary practice located at 614 E Emma Ave Suite 300, Springdale AR 72764-4634. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Naeger, Randolf can be contacted via phone (479) 751-7417.

Contact Information

Primary practice address
614 E Emma Ave Suite 300 Springdale AR 72764-4634
Phone: (479) 751-7417
Fax: (479) 751-7417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R71092 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01784 Arkansas

Profile Details

NPI number 1801835038
LBN Legal business name Naeger, Randolf
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 8th, 2011 - about 15 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 1801835038 NPPES
Arkansas MEDICAID PENDING

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