Johnston, Randolph Leigh

Johnston, Randolph Leigh is an individual health care provider with primary practice located at 1300 E 20Th St , Cheyenne WY 82001-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnston, Randolph Leigh can be contacted via phone (307) 634-2020.

Contact Information

Primary practice address
1300 E 20Th St Cheyenne WY 82001-4021
Fax: (307) 635-6510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 3308A Wyoming

Profile Details

NPI number 1730182239
LBN Legal business name Johnston, Randolph Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730182239 NPPES
Wyoming MEDICAID 104145200

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