Bargo, Randy

Bargo, Randy is an sole proprietor health care provider with primary practice located at 1451 Dowell Springs Blvd , Knoxville TN 37909-2441. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bargo, Randy can be contacted via phone (865) 970-9800.

Contact Information

Primary practice address
1451 Dowell Springs Blvd Knoxville TN 37909-2441
Phone: (865) 970-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71010173A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28859 Tennessee

Profile Details

NPI number 1558970517
LBN Legal business name Bargo, Randy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2020
Last updated Jul 2nd, 2021 - about 3 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 1558970517 NPPES
Tennessee MEDICAID Q066255

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