Randall, Ashlie Lynn

Randall, Ashlie Lynn is an sole proprietor health care provider with primary practice located at 875 Perimeter Dr , Moscow ID 83844-9803. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Randall, Ashlie Lynn can be contacted via phone (208) 885-6111.

Contact Information

Primary practice address
875 Perimeter Dr Moscow ID 83844-9803
Phone: (208) 885-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1619441540
LBN Legal business name Randall, Ashlie Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2019
Last updated Jan 14th, 2019 - about 7 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 1619441540 NPPES
Idaho Other 0647098115 HPSO

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