Everett, Randy W
Everett, Randy W is an individual health care provider with primary practice located at 2315 E Harmony Rd Ste 140, Fort Collins CO 80528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Everett, Randy W can be contacted via phone (970) 484-6700.Contact Information
Primary practice address
2315 E Harmony Rd Ste 140
Fort Collins CO 80528
Phone: (970) 484-6700
Fax: (970) 484-5723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35652 | Oklahoma |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 30088 | Colorado |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 114117 | Montana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 9048A | Wyoming |
Profile Details
| NPI number | 1285680306 |
|---|---|
| LBN Legal business name | Everett, Randy W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 14th, 2023 - about 2 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 | 1285680306 | NPPES |
| Colorado | MEDICAID | 01300888 |
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