Randall, Jason

Randall, Jason is an individual health care provider with primary practice located at 3770 Glenkerry Ct , Portage MI 49024-0700. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randall, Jason can be contacted via phone (269) 329-2887.

Contact Information

Primary practice address
3770 Glenkerry Ct Portage MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014496 Michigan

Profile Details

NPI number 1679885602
LBN Legal business name Randall, Jason
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Jul 7th, 2010 - about 16 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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