Jenkins, Randall
Jenkins, Randall is an sole proprietor health care provider with primary practice located at 1982 Chugwater Dr , Cheyenne WY 82009-9354. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jenkins, Randall can be contacted via phone (307) 286-1957.Contact Information
Primary practice address
1982 Chugwater Dr
Cheyenne WY 82009-9354
Phone: (307) 286-1957
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 0759 | Wyoming |
Profile Details
NPI number | 1144560848 |
---|---|
LBN Legal business name | Jenkins, Randall |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 18th, 2013 |
Last updated | Feb 18th, 2013 - about 12 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 | 1144560848 | NPPES |
Wyoming | Other | 0759 | MEDICARE |
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