Mcguire, Randall James

Mcguire, Randall James is an sole proprietor health care provider with primary practice located at 1627 S Union Ave , Roswell NM 88203-2656. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mcguire, Randall James can be contacted via phone (575) 621-2007.

Contact Information

Primary practice address
1627 S Union Ave Roswell NM 88203-2656
Fax: (575) 208-0700
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R38567 New Mexico

Profile Details

NPI number 1962481986
LBN Legal business name Mcguire, Randall James
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Nov 20th, 2019 - about 6 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 1962481986 NPPES
New Mexico Other NM006G23 BCBS
New Mexico MEDICAID R6548 BCBS
New Mexico MEDICAID 52771555 BCBS
New Mexico Other NM011928 BCBS
New Mexico Other P00224839 BCBS

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