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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861446007 | NPPES |
Texas | Other | 0048HC | BLUE CROSS BLUE SHIELD |
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