Hurt, Randall
Hurt, Randall is an sole proprietor health care provider with primary practice located at 4343 18Th Ave , Rock Island IL 61201-3907. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hurt, Randall can be contacted via phone (309) 786-9900.Contact Information
Primary practice address
4343 18Th Ave
Rock Island IL 61201-3907
Phone: (309) 786-9900
Fax: (309) 786-9925
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 06524 | Iowa |
Chiropractic Providers / Chiropractor | 111N00000X | DC-006130-L | Pennsylvania |
Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
NPI number | 1386759728 |
---|---|
LBN Legal business name | Hurt, Randall |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1386759728 | NPPES |
Illinois | Other | 08120282 | BCBS |
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