Wolfe, Randall D
Wolfe, Randall D is an sole proprietor health care provider with primary practice located at 500 St. Anthony Street , Lakin KS 67860-0308. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Wolfe, Randall D can be contacted via phone (620) 355-7754.Contact Information
Primary practice address
500 St. Anthony Street
Lakin KS 67860-0308
Phone: (620) 355-7754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | Kansas |
Profile Details
| NPI number | 1336347558 |
|---|---|
| LBN Legal business name | Wolfe, Randall D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Jul 10th, 2007 - about 18 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 | 1336347558 | NPPES |
| Kansas | MEDICAID | 200005960A | PROVIDER NUMBER |
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