Bordelon, Randy Gerard
Bordelon, Randy Gerard is an sole proprietor health care provider with primary practice located at 1310 N Hearne Ave , Shreveport LA 71107-6516. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bordelon, Randy Gerard can be contacted via phone (318) 676-5103.Contact Information
Primary practice address
1310 N Hearne Ave
Shreveport LA 71107-6516
Phone: (318) 676-5103
Fax: (318) 676-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1891848008 |
|---|---|
| LBN Legal business name | Bordelon, Randy Gerard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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