Tim L Randall in Ypsilanti - Addiction (substance Use Disorder)

Tim L Randall - NPI 1598962987

Tim L Randall is a Addiction (substance Use Disorder) in Ypsilanti, North Dakota. Tim L Randall practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tim L Randall is 1598962987. The last update date is 2007-07-08.

Tim L Randall's current location address is Po Box 286, Ypsilanti, North Dakota. You can contact this provider via phone number 7014893289. The mailing address for Tim L Randall is Po Box 286, Ypsilanti, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tim L Randall
Address Po Box 286, Ypsilanti, North Dakota
Phone Number 7014893289
Fax Number
Sole Proprietor N
Credentials LAC

NPI Number Detail

NPI Number 1598962987
Provider Enumeration Date 2007-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 286
City Ypsilanti
State North Dakota (ND)
Post Code 584970286
Phone Number 7014893289
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1102
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Tim L Randall

What is the Tim L Randall's unique identification number?

The Tim L Randall has been assigned the NPI (National Provider Identifier) Number 1598962987 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Tim L Randall's facilities are geographically located?

The facilities of Tim L Randall are physically situated at the following location: Po Box 286, Ypsilanti, ND, 584970286.

What is Tim L Randall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tim L Randall's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1598962987 to Tim L Randall?

The Tim L Randall received its 1598962987 assignment from the Centers for Medicare & Medicaid Services on 2007-06-28.

When was the information related to Tim L Randall most recently updated or refreshed?

The details pertaining to the Tim L Randall, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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