Short, Randall Edward

Short, Randall Edward is an individual health care provider with primary practice located at 10Th Sixth Avenue West , Huntington WV 25701. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Short, Randall Edward can be contacted via phone (304) 525-8014.

Contact Information

Primary practice address
10Th Sixth Avenue West Huntington WV 25701
Phone: (304) 525-8014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-129252 West Virginia

Profile Details

NPI number 1144839614
LBN Legal business name Short, Randall Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 2020 - about 6 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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