Randle, Christine
Randle, Christine is an sole proprietor health care provider with primary practice located at 615 Leominster Rd , Lunenburg MA 01462-2013. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randle, Christine can be contacted via phone (978) 582-7103.Contact Information
Primary practice address
615 Leominster Rd
Lunenburg MA 01462-2013
Phone: (978) 582-7103
Fax: (978) 582-6264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111274 | Massachusetts |
Profile Details
| NPI number | 1588765473 |
|---|---|
| LBN Legal business name | Randle, Christine |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588765473 | NPPES |
| Massachusetts | Other | 1035290 | FALLON |
| Massachusetts | Other | MAGELLAN | FALLON |
| Massachusetts | Other | 05420331 | FALLON |
| Massachusetts | Other | P08211 | FALLON |
| Massachusetts | Other | 11602293 | FALLON |
| Massachusetts | MEDICAID | 1852892 | FALLON |
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