Burt, Randall

Burt, Randall is an sole proprietor health care provider with primary practice located at 2600 S 108Th St T-2199, West Allis WI 53227-1926. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Burt, Randall can be contacted via phone (414) 545-0385.

Contact Information

Primary practice address
2600 S 108Th St T-2199 West Allis WI 53227-1926
Phone: (414) 545-0385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12954-40 Wisconsin

Profile Details

NPI number 1790079630
LBN Legal business name Burt, Randall
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2011
Last updated Jun 8th, 2011 - about 13 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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