Scott, Randal Lee

Scott, Randal Lee is an sole proprietor health care provider with primary practice located at 500 Tiger Blvd. , Bentonville AR 72712-2011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Scott, Randal Lee can be contacted via phone (479) 254-5065.

Contact Information

Primary practice address
500 Tiger Blvd. Bentonville AR 72712-2011
Phone: (479) 254-5065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTR-1569 Arkansas

Profile Details

NPI number 1528285541
LBN Legal business name Scott, Randal Lee
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 7th, 2009 - about 17 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 1528285541 NPPES
Arkansas MEDICAID 146648721

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