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
Fax: (928) 772-2383
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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