Oppold, Randy

Oppold, Randy is an individual health care provider with primary practice located at 6215 South Cliff Avenue , Sioux Falls SD 57108-8589. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Oppold, Randy can be contacted via phone (605) 322-4130.

Contact Information

Primary practice address
6215 South Cliff Avenue Sioux Falls SD 57108-8589
Phone: (605) 322-4130
Fax: (605) 322-4131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0620 South Dakota

Profile Details

NPI number 1770525487
LBN Legal business name Oppold, Randy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated May 9th, 2016 - about 10 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 1770525487 NPPES
South Dakota Other 0620 PA LICENSE

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