Reasch, Randy

Reasch, Randy is an individual health care provider with primary practice located at 2121 West Reservation Loop Road , Camp Verde AZ 86322-8412. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Reasch, Randy can be contacted via phone (928) 567-2168.

Contact Information

Primary practice address
2121 West Reservation Loop Road Camp Verde AZ 86322-8412
Phone: (928) 567-2168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4431 Arizona

Profile Details

NPI number 1134265275
LBN Legal business name Reasch, Randy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 21st, 2022 - 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 1134265275 NPPES
Arizona MEDICAID 153875

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