Hurley, Randolph W

Hurley, Randolph W is an individual health care provider with primary practice located at 640 Jackson Street Mc 11503F, St Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hurley, Randolph W can be contacted via phone (651) 254-3448.

Contact Information

Primary practice address
640 Jackson Street Mc 11503F St Paul MN 55101-2502
Phone: (651) 254-3448
Fax: (651) 254-3470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 34608 Minnesota

Profile Details

NPI number 1033184239
LBN Legal business name Hurley, Randolph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 17th, 2021 - about 3 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 1033184239 NPPES
Minnesota MEDICAID 142887000

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