Randol, Erin

Randol, Erin is an individual health care provider with primary practice located at 402 S Silver Springs Rd , Cape Girardeau MO 63703-7536. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randol, Erin can be contacted via phone (573) 334-1100.

Contact Information

Primary practice address
402 S Silver Springs Rd Cape Girardeau MO 63703-7536
Phone: (573) 334-1100
Fax: (573) 651-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2016022491 Missouri

Profile Details

NPI number 1346752680
LBN Legal business name Randol, Erin
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Oct 26th, 2017 - about 9 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 1346752680 NPPES
Missouri MEDICAID 1235244757

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