Randolph, Beverly Michelle
Randolph, Beverly Michelle is an individual health care provider with primary practice located at 810 S Broom St Suite B, Wilmington DE 19805-4245. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Randolph, Beverly Michelle can be contacted via phone (302) 652-1181.Contact Information
Primary practice address
810 S Broom St Suite B
Wilmington DE 19805-4245
Phone: (302) 652-1181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | J10001461 | Delaware |
Profile Details
| NPI number | 1265413280 |
|---|---|
| LBN Legal business name | Randolph, Beverly Michelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 20th, 2014 - about 12 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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