Chaulk, Randy L
Chaulk, Randy L is an individual health care provider with primary practice located at 1240 E Normandy Blvd , Deltona FL 32725-8484. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chaulk, Randy L can be contacted via phone (386) 574-1464.Contact Information
Primary practice address
1240 E Normandy Blvd
Deltona FL 32725-8484
Phone: (386) 574-1464
Fax: (386) 574-4895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0004569 | Florida |
Profile Details
| NPI number | 1821274127 |
|---|---|
| LBN Legal business name | Chaulk, Randy L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Oct 19th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821274127 | NPPES |
| Florida | Other | 70466 | BCBS FL PROVIDER ID |
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