Hurley, Randy Steven
Hurley, Randy Steven is an sole proprietor health care provider with primary practice located at 1151 W Iron Springs Rd Suite F, Prescott AZ 86305-1614. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hurley, Randy Steven can be contacted via phone (928) 771-2526.Contact Information
Primary practice address
1151 W Iron Springs Rd Suite F
Prescott AZ 86305-1614
Phone: (928) 771-2526
Fax: (928) 777-2469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4339 | Arizona |
Profile Details
| NPI number | 1144359092 |
|---|---|
| LBN Legal business name | Hurley, Randy Steven |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144359092 | NPPES |
| Arizona | Other | 4339 | STATE DENTAL LICENSE |
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