Randolph, Jared Thomas
Randolph, Jared Thomas is an individual health care provider with primary practice located at 1614 W Parrish Ave , Owensboro KY 42301-3535. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Randolph, Jared Thomas can be contacted via phone (270) 684-4559.Contact Information
Primary practice address
1614 W Parrish Ave
Owensboro KY 42301-3535
Phone: (270) 684-4559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A02450 | Kentucky |
Profile Details
| NPI number | 1225780034 |
|---|---|
| LBN Legal business name | Randolph, Jared Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2022 |
| Last updated | Jan 23rd, 2022 - about 3 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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