Flores, Randy Daniel
Flores, Randy Daniel is an sole proprietor health care provider with primary practice located at 188 W Ivey Rd , Huachuca City AZ 85616-8227. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Flores, Randy Daniel can be contacted via phone (520) 456-1416.Contact Information
Primary practice address
188 W Ivey Rd
Huachuca City AZ 85616-8227
Phone: (520) 456-1416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1497821920 |
|---|---|
| LBN Legal business name | Flores, Randy Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 26th, 2007 - about 17 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 | 1497821920 | NPPES |
| Arizona | MEDICAID | 114178 |
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