Komacko, Randall

Komacko, Randall is an individual health care provider with primary practice located at 1027 Country Club Rd , Monongahela PA 15063-1553. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Komacko, Randall can be contacted via phone (724) 258-6211.

Contact Information

Primary practice address
1027 Country Club Rd Monongahela PA 15063-1553
Phone: (724) 258-6211
Fax: (724) 258-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT011524L Pennsylvania

Profile Details

NPI number 1841228657
LBN Legal business name Komacko, Randall
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 9th, 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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