Naylor, Randy

Naylor, Randy is an individual health care provider with primary practice located at 426 West Ave , Red Wing MN 55066-2473. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Naylor, Randy can be contacted via phone (651) 385-6180.

Contact Information

Primary practice address
426 West Ave Red Wing MN 55066-2473
Phone: (651) 385-6180
Fax: (651) 385-6195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1609 Minnesota

Profile Details

NPI number 1972558302
LBN Legal business name Naylor, Randy
Credentials LICSW, LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972558302 NPPES
Other 01013344 PREFERRED ONE
Other 117956 PREFERRED ONE
MEDICAID 247057800 PREFERRED ONE
Other 62-69127 PREFERRED ONE
Other 61Q73NA PREFERRED ONE
Other 5115551 PREFERRED ONE
Other 855661013344 PREFERRED ONE

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