Wiley, Randall E

Wiley, Randall E is an individual health care provider with primary practice located at 617 Benton St , Omak WA 98841-9636. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wiley, Randall E can be contacted via phone (509) 422-7416.

Contact Information

Primary practice address
617 Benton St Omak WA 98841-9636
Phone: (509) 422-7416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104556249 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X N361159228 Washington

Profile Details

NPI number 1013029735
LBN Legal business name Wiley, Randall E
Credentials DC, MSN, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 5th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013029735 NPPES
Virginia Other 0104556249 VA STATE LICENSE

Popular Providers