Riley, Randal Anthony

Riley, Randal Anthony is an sole proprietor health care provider with primary practice located at 4363 W Dean Rd Apt 164 , Brown Deer WI 53223-3100. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Riley, Randal Anthony can be contacted via phone (305) 978-2335.

Contact Information

Primary practice address
4363 W Dean Rd Apt 164 Brown Deer WI 53223-3100
Phone: (305) 978-2335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 321568 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 252849-30 Wisconsin

Profile Details

NPI number 1124503776
LBN Legal business name Riley, Randal Anthony
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2018
Last updated May 7th, 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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