Willeby, Randy C.

Willeby, Randy C. is an individual health care provider with primary practice located at 1700 Mount Vernon Ave , Bakersfield CA 93306-4018. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Willeby, Randy C. can be contacted via phone (661) 326-2128.

Contact Information

Primary practice address
1700 Mount Vernon Ave Bakersfield CA 93306-4018
Phone: (661) 326-2128
Fax: (661) 326-2129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 326 California
Nursing Service Providers / Registered Nurse 163W00000X 246857 California

Profile Details

NPI number 1023098142
LBN Legal business name Willeby, Randy C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 13th, 2009 - about 15 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 1023098142 NPPES
California MEDICAID RN2468570

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