Radford, Weston William
Radford, Weston William is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Radford, Weston William can be contacted via phone (920) 223-7100.Contact Information
Primary practice address
1855 S Koeller St
Oshkosh WI 54902-6186
Phone: (920) 223-7100
Fax: (920) 223-7462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 65358-20 | Wisconsin |
Profile Details
NPI number | 1700229416 |
---|---|
LBN Legal business name | Radford, Weston William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2013 |
Last updated | Aug 3rd, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700229416 | NPPES |
Wisconsin | MEDICAID | 100058224 |
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