Timko, John Randall

Timko, John Randall is an individual health care provider with primary practice located at 844 N Stone St 202, Deland FL 32720-3208. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Timko, John Randall can be contacted via phone (386) 734-2592.

Contact Information

Primary practice address
844 N Stone St 202 Deland FL 32720-3208
Phone: (386) 734-2592
Fax: (386) 734-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X CH0004523 Florida

Profile Details

NPI number 1326174673
LBN Legal business name Timko, John Randall
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Oct 1st, 2013 - about 11 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 1326174673 NPPES
Florida MEDICAID 055613100

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