Randall, Theresa

Randall, Theresa is an individual health care provider with primary practice located at 9455 W Watertown Plank Rd Fl 4 , Wauwatosa WI 53226-3559. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Randall, Theresa can be contacted via phone (414) 257-6302.

Contact Information

Primary practice address
9455 W Watertown Plank Rd Fl 4 Wauwatosa WI 53226-3559
Phone: (414) 257-6302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1306474952
LBN Legal business name Randall, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 2020 - about 6 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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