Gereau, Randal

Gereau, Randal is an sole proprietor health care provider with primary practice located at 127 Beth Cir , Plymouth WI 53073-2649. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Gereau, Randal can be contacted via phone (920) 892-7044.

Contact Information

Primary practice address
127 Beth Cir Plymouth WI 53073-2649
Phone: (920) 892-7044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 313450-31 Wisconsin

Profile Details

NPI number 1275825077
LBN Legal business name Gereau, Randal
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2011
Last updated May 11th, 2011 - about 14 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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