Wood, Randall Keith
Wood, Randall Keith is an sole proprietor health care provider with primary practice located at 1211 Huntington Ave , Wisconsin Rapids WI 54494-7934. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wood, Randall Keith can be contacted via phone (715) 423-5950.Contact Information
Primary practice address
1211 Huntington Ave
Wisconsin Rapids WI 54494-7934
Phone: (715) 423-5950
Fax: (715) 423-0693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3031 | Wisconsin |
Profile Details
| NPI number | 1598087710 |
|---|---|
| LBN Legal business name | Wood, Randall Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2010 |
| Last updated | Feb 16th, 2010 - 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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