Tigue Chiropractic Inc
Organization Active NPI Chiropractor · Lords Valley, PA
NPI 1932274586 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1932274586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC008740 (PA)
- Legal business name
- TIGUE CHIROPRACTIC INC
- Practice address
- 662 Route 739 Ste 2
Lords Valley, PA 18428-6085 - Phone
- (570) 775-6205
- Fax
- (570) 775-6205
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Lynnita Marie Tigue, DC
- Title
- Owner President
- Phone
- (570) 226-6299
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041111000785 | PA | Part B Supplier - Clinic/Group Practice | 2860455615 |
Receives reassigned benefits from 1 practitioner Practice locations: Lords Valley, PA |
National Provider Directory
Locations
662 Route 739
Ste 2
Lords Valley, PA 18428
Phone (570) 775-6205
635 Route 739
Lords Valley, PA 18428
Phone (570) 775-6205
98 Forest Dr
Ste 2
Lords Valley, PA 18428
Phone (570) 775-6205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC008740 | PA | Yes |
Addresses
Primary practice location
662 Route 739 Ste 2
Lords Valley, PA 18428-6085
Mailing address
662 Route 739 Ste 2
Lords Valley, PA 18428-6085
Phone (570) 775-6205
Other practice location 1
98 Forest Dr
Suite 2
Lords Valley, PA 18428-6140
Phone (570) 775-6205
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001640258 | Other | PA | BLUE SHIELD |
| 818418 | Other | PA | FIRST PRIORITY |
| 1012312930001 | Medicaid | PA |
Other providers in Lords Valley, PA
- Lynn Salvati
- Silvia A Seu
- Toby Roslyn Silverman
- Kimball Smith
- Herbert J. Steinberg
- Lynnita M Tigue-Petroski
- Christine Trusky
- Wayne Memorial Community Health Centers
- Tori K Welch
- Gloria M Wellbrock
All providers in Lords Valley, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.