Maxson, Randy R
Maxson, Randy R is an sole proprietor health care provider with primary practice located at 23 Road 5507 , Bloomfield NM 87413-9313. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Maxson, Randy R can be contacted via phone (707) 900-8073.Contact Information
Primary practice address
23 Road 5507
Bloomfield NM 87413-9313
Phone: (707) 900-8073
Fax: (707) 812-6124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1043702442 |
|---|---|
| LBN Legal business name | Maxson, Randy R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2018 |
| Last updated | May 31st, 2018 - about 7 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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