Inkcredible Tattoo Factory

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INKCREDIBLE TATTOO FACTORY

Doing business as

Inkcredible Outcomes

Practice address

40 S Market St
Elizabethtown, PA 17022-2307

Phone

(717) 205-7187

NPI assigned

Nov 2, 2019

Organization subpart

Yes

Parent organization

INKCREDIBLE TATTOO FACTORYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bridget L Grant

Title

Medical Tattoo Tech./Owner

Phone

(717) 205-7187

Specialties & licenses 1

Addresses

Other names 1

• Inkcredible Outcomes Doing business as

Electronic endpoints 1

Part of

Inkcredible Tattoo Factory

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572652800000",
    "number": "1700420742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JOSEPH RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035903",
            "telephone_number": "717-205-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222307",
            "telephone_number": "717-205-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKCREDIBLE TATTOO FACTORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INKCREDIBLE TATTOO FACTORY",
        "enumeration_date": "2019-11-02",
        "last_updated": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL TATTOO TECH./OWNER",
        "authorized_official_telephone_number": "717-205-7187",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@inkcredibleoutcomes.com",
            "affiliation": "N",
            "address_1": "40 S Market St",
            "city": "Elizabethtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170222307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inkcredible Outcomes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Horting
• Jon Hoynak
• Bryan M Hoyt, PT
• Debra Huber, LPC
• Husam Idrees
• Jennifer Irvin
• Michael Jarzynka, PHD
• Erica Lynn Jones, CRNP- FAMILY HEALTH
• Journey Therapy, LLC
• Jul Hearing Aid Solutions, LLC

• Clinic/Center in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.