Randerson, Craig Robert
Randerson, Craig Robert is an sole proprietor health care provider with primary practice located at 150 W 1St St Ste 270 , New Richmond WI 54017-1770. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randerson, Craig Robert can be contacted via phone (715) 246-4840.Contact Information
Primary practice address
150 W 1St St Ste 270
New Richmond WI 54017-1770
Phone: (715) 246-4840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 130965-121 | Wisconsin |
Profile Details
| NPI number | 1942700547 |
|---|---|
| LBN Legal business name | Randerson, Craig Robert |
| Credentials | MSW, CAPSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2018 |
| Last updated | Feb 20th, 2018 - about 8 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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