Wells, Randall Hal
Wells, Randall Hal is an sole proprietor health care provider with primary practice located at 105 Reserve St , Hot Springs AR 71901-4195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wells, Randall Hal can be contacted via phone (501) 624-4411.Contact Information
Primary practice address
105 Reserve St
Hot Springs AR 71901-4195
Phone: (501) 624-4411
Fax: (501) 624-0019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C-5671 | Arkansas |
Profile Details
NPI number | 1245290816 |
---|---|
LBN Legal business name | Wells, Randall Hal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2006 |
Last updated | Jan 20th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245290816 | NPPES |
Arkansas | MEDICAID | 105-207-0011 |
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