Randolph, John James
Randolph, John James is an sole proprietor health care provider with primary practice located at 20 W Park St Ste 215, Lebanon NH 03766-1378. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Randolph, John James can be contacted via phone (603) 448-6779.Contact Information
Primary practice address
20 W Park St Ste 215
Lebanon NH 03766-1378
Phone: (603) 448-6779
Fax: (603) 653-0246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1027 | New Hampshire |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1027 | New Hampshire |
Profile Details
| NPI number | 1700881463 |
|---|---|
| LBN Legal business name | Randolph, John James |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 4th, 2014 - about 11 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 | 1700881463 | NPPES |
| Vermont | Other | 00068596 | BLUE CROSS BLUE SHIELD |
| Vermont | Other | 06Y007347NH01 | BLUE CROSS BLUE SHIELD |
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