Bishop, Randy Lyman

Bishop, Randy Lyman is an individual health care provider with primary practice located at 650 Medical Dr #68, Pocatello ID 83209-0001. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Bishop, Randy Lyman can be contacted via phone (208) 282-4034.

Contact Information

Primary practice address
650 Medical Dr #68 Pocatello ID 83209-0001
Phone: (208) 282-4034
Fax: (208) 282-4571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD 1225 Idaho

Profile Details

NPI number 1720004419
LBN Legal business name Bishop, Randy Lyman
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1720004419 NPPES
Idaho Other AU 761 BLUE CROSS

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