Williams, Randy Dale

Williams, Randy Dale is an sole proprietor health care provider with primary practice located at 1800 Mount Vernon Ave , Bakersfield CA 93306-3302. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. Williams, Randy Dale can be contacted via phone (661) 868-0523.

Contact Information

Primary practice address
1800 Mount Vernon Ave Bakersfield CA 93306-3302
Phone: (661) 868-0523
Fax: (661) 868-1291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 484762 California

Profile Details

NPI number 1538641071
LBN Legal business name Williams, Randy Dale
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2018
Last updated Aug 31st, 2018 - about 8 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 1538641071 NPPES
California Other 484762 RN LICENSE NUMBER

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