Randall, Chad R

Randall, Chad R is an individual health care provider with primary practice located at 140 Prospect Ave Ste T , Kirkwood MO 63122-6024. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Randall, Chad R can be contacted via phone (314) 200-4482.

Contact Information

Primary practice address
140 Prospect Ave Ste T Kirkwood MO 63122-6024
Phone: (314) 200-4482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2009038524 Missouri

Profile Details

NPI number 1811134190
LBN Legal business name Randall, Chad R
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2009
Last updated Nov 11th, 2020 - about 5 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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