Boldt, Randal W.

Boldt, Randal W. is an individual health care provider with primary practice located at 3708 W Waco Dr Ste. 3, Waco TX 76710-5381. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boldt, Randal W. can be contacted via phone (254) 717-7427.

Contact Information

Primary practice address
3708 W Waco Dr Ste. 3 Waco TX 76710-5381
Phone: (254) 717-7427
Fax: (254) 755-8050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31358 Texas

Profile Details

NPI number 1861446007
LBN Legal business name Boldt, Randal W.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 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 1861446007 NPPES
Texas Other 0048HC BLUE CROSS BLUE SHIELD

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