Wendt, Randall J

Wendt, Randall J is an individual health care provider with primary practice located at 8121 Madison Blvd Ste. 101-A, Madison AL 35758-2080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wendt, Randall J can be contacted via phone (256) 325-6499.

Contact Information

Primary practice address
8121 Madison Blvd Ste. 101-A Madison AL 35758-2080
Phone: (256) 325-6499
Fax: (256) 325-3195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24803 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.13299 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13299 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14718 South Carolina

Profile Details

NPI number 1295779114
LBN Legal business name Wendt, Randall J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 9th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295779114 NPPES
Oklahoma MEDICAID 200078790A

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