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
Phone: (623) 374-0200
Fax: (623) 374-5576
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467432971 | NPPES |
Arizona | MEDICAID | 445917 | |
Arizona | Other | Z131033 |
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