Hurd, Randall Charles

Hurd, Randall Charles is an individual health care provider with primary practice located at 21 Carkoski Commons Minnesota State University, Mankato, Mankato MN 56001-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hurd, Randall Charles can be contacted via phone (507) 389-6276.

Contact Information

Primary practice address
21 Carkoski Commons Minnesota State University, Mankato Mankato MN 56001-6030
Phone: (507) 389-6276
Fax: (507) 389-5787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27689 Minnesota

Profile Details

NPI number 1154319556
LBN Legal business name Hurd, Randall Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154319556 NPPES
Minnesota Other 122248 UCARE
Minnesota Other 01-14-628 UCARE
Minnesota Other 247M2HU UCARE

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