Stone, Randall M.
Stone, Randall M. is an individual health care provider with primary practice located at 705 S University Ave Ste 200 , Beaver Dam WI 53916-3079. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Stone, Randall M. can be contacted via phone (920) 887-9272.Contact Information
Primary practice address
705 S University Ave Ste 200
Beaver Dam WI 53916-3079
Phone: (920) 887-9272
Fax: (920) 885-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 8504-33 | Wisconsin |
Profile Details
| NPI number | 1710463088 |
|---|---|
| LBN Legal business name | Stone, Randall M. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2018 |
| Last updated | Jan 11th, 2021 - about 5 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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