Baxter, Randall Keith
Baxter, Randall Keith is an individual health care provider with primary practice located at 777 Avenue H , Powell WY 82435-2260. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Baxter, Randall Keith can be contacted via phone (307) 754-2267.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 44753 | Wyoming |
Profile Details
| NPI number | 1609418334 |
|---|---|
| LBN Legal business name | Baxter, Randall Keith |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2019 |
| Last updated | Oct 15th, 2019 - about 5 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 | 1609418334 | NPPES |
| Wyoming | Other | 44753 | WYOMING STATE APRN LICENSE NUMBER |
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