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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1285680306 NPPES
Colorado MEDICAID 01300888

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