Hansen, Randall Tyler
Hansen, Randall Tyler is an individual health care provider with primary practice located at 475 W 940 N , Provo UT 84604-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hansen, Randall Tyler can be contacted via phone (801) 357-7930.Contact Information
Primary practice address
475 W 940 N
Provo UT 84604-3301
Phone: (801) 357-7930
Fax: (801) 357-7014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8699702-1204 | Utah |
Profile Details
| NPI number | 1831459361 |
|---|---|
| LBN Legal business name | Hansen, Randall Tyler |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2012 |
| Last updated | Jan 22nd, 2016 - about 10 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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