Randall M. Wilk, Md, Dds, Phd, Apmc
LBN: Randall M. Wilk, Md, Dds, Phd, Apmc
Randall M. Wilk, Md, Dds, Phd, Apmc is an health care organization with primary practice located at 120 Meadowcrest St, #300 , Gretna LA 70056. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Randall M. Wilk, Md, Dds, Phd, Apmc can be contacted via phone (504) 362-6135, or through Wilk, Randall M. via phone (504) 362-6135.
Contact Information
Primary practice address
120 Meadowcrest St, #300
Gretna LA 70056
Phone: (504) 362-6135
Fax: (504) 362-6134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4669 | Louisiana |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 022962 | Louisiana |
Profile Details
| NPI number | 1285849166 |
|---|---|
| LBN Legal business name | Randall M. Wilk, Md, Dds, Phd, Apmc |
| DBA Doing business as | |
| Authorized official | Wilk, Randall M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2007 |
| Last updated | Oct 11th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285849166 | NPPES |
| Louisiana | MEDICAID | 1890197 |
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