Basden, Randall Alan
Basden, Randall Alan is an individual health care provider with primary practice located at 1954 W Mariposa Pkwy , Wheatland WY 82201-3102. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Basden, Randall Alan can be contacted via phone (307) 322-3190.Contact Information
Primary practice address
1954 W Mariposa Pkwy
Wheatland WY 82201-3102
Phone: (307) 322-3190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC- 858 | Wyoming |
Profile Details
| NPI number | 1831311760 |
|---|---|
| LBN Legal business name | Basden, Randall Alan |
| Credentials | MSED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Dec 12th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831311760 | NPPES |
| Wyoming | MEDICAID | 132748801 |
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