Luce, Bethany L
Luce, Bethany L is an individual health care provider with primary practice located at 3251 N Windsong Dr , Prescott Valley AZ 86314-1222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Luce, Bethany L can be contacted via phone (928) 772-2582.Contact Information
Primary practice address
3251 N Windsong Dr
Prescott Valley AZ 86314-1222
Phone: (928) 772-2582
Fax: (928) 772-2383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32468 | Arizona |
Profile Details
NPI number | 1679683510 |
---|---|
LBN Legal business name | Luce, Bethany L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Oct 16th, 2018 - about 6 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 | 1679683510 | NPPES |
Arizona | Other | 20-0641187 | UNITED HEALTH |
Arizona | Other | 20-0641187 | UNITED HEALTH |
Arizona | Other | 869638 | UNITED HEALTH |
Arizona | Other | AZ0749400 | UNITED HEALTH |
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