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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144560848 NPPES
Wyoming Other 0759 MEDICARE

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