Randolph, Bryan J
Randolph, Bryan J is an individual health care provider with primary practice located at 2274 Mount Moosilauke Hwy , Pike NH 03780-5615. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Randolph, Bryan J can be contacted via phone (603) 989-3500.Contact Information
Primary practice address
2274 Mount Moosilauke Hwy
Pike NH 03780-5615
Phone: (603) 989-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1894 | New Hampshire |
Profile Details
| NPI number | 1639536147 |
|---|---|
| LBN Legal business name | Randolph, Bryan J |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2016 |
| Last updated | Jan 28th, 2016 - 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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