Individual provider · Type 1 NPI
Randall Jay Sampson
Contractor · Forest Lake, MN
Practice location
24668 Hamlet Ave
Forest Lake, MN 55025-8781
Fax (651) 464-5671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | BC743839 (MN) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1295366029
Randall Jay Sampson's National Provider Identifier is 1295366029, issued on Jan 30, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Forest Lake, MN. The record was last updated on Jan 30, 2020.