Weideman, Randall Scott

Weideman, Randall Scott is an individual health care provider with primary practice located at 1250 River Place Blvd , Waukesha WI 53189-7752. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weideman, Randall Scott can be contacted via phone (262) 542-5216.

Contact Information

Primary practice address
1250 River Place Blvd Waukesha WI 53189-7752
Phone: (262) 542-5216
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4297-024 Wisconsin

Profile Details

NPI number 1629011143
LBN Legal business name Weideman, Randall Scott
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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