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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1386759728 NPPES
Illinois Other 08120282 BCBS

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