Nedegaard, Randall Clifford
Nedegaard, Randall Clifford is an individual health care provider with primary practice located at 1599 J St 319 Mdos/Sgoh, Grand Forks Afb ND 58205-6306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nedegaard, Randall Clifford can be contacted via phone (701) 747-7155.Contact Information
Primary practice address
1599 J St 319 Mdos/Sgoh
Grand Forks Afb ND 58205-6306
Phone: (701) 747-7155
Fax: (701) 747-7340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1126 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 123-1858 | Wisconsin |
Profile Details
| NPI number | 1013908946 |
|---|---|
| LBN Legal business name | Nedegaard, Randall Clifford |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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