National Provider Identifier Database

ROBERT RANDOLPH
Perinatal


Contact Information

ROBERT RANDOLPH
4200 N HOLTON ST STE 110
MILWAUKEE, WI53212-1065
Phone: 414-899-6838
Fax:
Website:
Specialty Taxonomy Code
* Perinatal 163WP1700X

* Indicates primary specialty

NPI Profile & details for ROBERT RANDOLPH

NPI Number 1700337979
Credentials
Entity Individual
Enumeration date 10/21/2016
Last updated 10/21/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 163WP1700X
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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