BENJAMIN RANDALL ATC NPI 1184089203

NPI Information

  • NPI: 1184089203
  • Provider Name: BENJAMIN RANDALL, ATC
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Individual
  • Address: 5747 MEMORIAL GYM UNIVERSITY OF MAINE
    ORONO, ME
    ZIP 04469
  • Phone: (207) 581-1088

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NPI Details

Benjamin Randall, ATC is a specialist technologist other in Orono, ME. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Benjamin Randall, ATC NPI is 1184089203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5747 MEMORIAL GYM UNIVERSITY OF MAINE
ORONO, ME
ZIP 04469-001
Phone: (207) 581-1088

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246Z00000XSpecialist/Technologist, OtherAT509MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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