Boswell, Randy Eugene

Boswell, Randy Eugene is an sole proprietor health care provider with primary practice located at 1000 W Garden Ave , Coeur D Alene ID 83814-2161. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boswell, Randy Eugene can be contacted via phone (208) 769-3217.

Contact Information

Primary practice address
1000 W Garden Ave Coeur D Alene ID 83814-2161
Phone: (208) 769-3217
Fax: (208) 769-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1477780179
LBN Legal business name Boswell, Randy Eugene
Credentials MA, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Jun 19th, 2009 - about 15 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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