Pitzer, Randolph Richard
Pitzer, Randolph Richard is an individual health care provider with primary practice located at 2224 1St Ave W , Williston ND 58801-6286. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pitzer, Randolph Richard can be contacted via phone (701) 774-0259.Contact Information
Primary practice address
2224 1St Ave W
Williston ND 58801-6286
Phone: (701) 774-0259
Fax: (701) 774-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1628 | North Dakota |
Profile Details
| NPI number | 1518059484 |
|---|---|
| LBN Legal business name | Pitzer, Randolph Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518059484 | NPPES |
| North Dakota | MEDICAID | 40031 | |
| North Dakota | MEDICAID | 111332 |
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