Dr. Randall E Wiley
Chiropractor Nurse Practitioner - Family Medicine
617 Benton St
Omak
, Washington 98841-9636
Dr. Randall E Wiley
Chiropractor Nurse Practitioner - Family Medicine
617 Benton St
Omak
, Washington 98841-9636
(509) 634-2900
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About
Features
Specialties
- Chiropractor
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Dr. Randall E Wiley
- Po Box 70
- Nespelem, WA
- Zip : 99155-0070
- Phone : (509) 634-2900
Second Address
- Dr. Randall E Wiley
- 617 Benton St
- Omak, WA
- Zip : 98841-9636
- Phone : (509) 422-7416
Reviews
FAQs
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Is Dr. Randall E Wiley accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 0104556249 | VA |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | N361159228 | WA |
National Provider Identifier
| NPI | 1013029735 |
|---|---|
| Provider Name | Dr. Randall E Wiley |
| First Address | Nespelem, WA 99155-0070 |
| Second Address | Omak, WA 98841-9636 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 05/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0104556249 | VA STATE LICENSE (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.