Boone, Randolph Steven

Boone, Randolph Steven is an individual health care provider with primary practice located at 1119 W Morton Ave , Porterville CA 93257-1946. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered is his primary health care specialty. Boone, Randolph Steven can be contacted via phone (559) 784-4944.

Contact Information

Primary practice address
1119 W Morton Ave Porterville CA 93257-1946
Phone: (559) 784-4944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X RCP9514 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12253 California

Profile Details

NPI number 1871708321
LBN Legal business name Boone, Randolph Steven
Credentials PA AND RRT
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 19 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 1871708321 NPPES
California Other PA12253 PHYSICIAN ASSISTANT
California Other RCP9514 PHYSICIAN ASSISTANT

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