Hancock, Randy Charles

Hancock, Randy Charles is an individual health care provider with primary practice located at 19251 E Oasis Dr , Black Canyon City AZ 85324-8878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hancock, Randy Charles can be contacted via phone (623) 374-0200.

Contact Information

Primary practice address
19251 E Oasis Dr Black Canyon City AZ 85324-8878
Fax: (623) 374-5576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3297 Arizona

Profile Details

NPI number 1467432971
LBN Legal business name Hancock, Randy Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 16th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467432971 NPPES
Arizona MEDICAID 445917
Arizona Other Z131033

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