Provider Demographics
NPI:1780799239
Name:TURINO, TIMOTHY C (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:C
Last Name:TURINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 FORDEM AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4610
Mailing Address - Country:US
Mailing Address - Phone:608-244-7447
Mailing Address - Fax:608-244-0131
Practice Address - Street 1:2110 FORDEM AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4610
Practice Address - Country:US
Practice Address - Phone:608-244-7447
Practice Address - Fax:608-244-0131
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1455111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI75548Medicare ID - Type Unspecified
WIT63545Medicare UPIN