Fore, Randy

Fore, Randy is an individual health care provider with primary practice located at 202 N College St , Mountain Home AR 72653-3654. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Fore, Randy can be contacted via phone (870) 424-4600.

Contact Information

Primary practice address
202 N College St Mountain Home AR 72653-3654
Fax: (870) 424-6950
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 588 Arkansas

Profile Details

NPI number 1356771539
LBN Legal business name Fore, Randy
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2013
Last updated Nov 25th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356771539 NPPES
Arkansas Other 588 THE BOARD OF HEARING INSTRUMENT DISPENSERS

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