Wheagar, Emmanuel Randolph

Wheagar, Emmanuel Randolph is an individual health care provider with primary practice located at 6248 Lakeland Ave N , Brooklyn Park MN 55428-2986. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Wheagar, Emmanuel Randolph can be contacted via phone (848) 230-1286.

Contact Information

Primary practice address
6248 Lakeland Ave N Brooklyn Park MN 55428-2986
Phone: (848) 230-1286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1235762667
LBN Legal business name Wheagar, Emmanuel Randolph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2020
Last updated Feb 13th, 2020 - about 5 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 1235762667 NPPES
New Jersey Other W32792257902702 DRIVER'S LICENSE

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