MEDICARE: MICHAEL PATRICK TURKOS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	011006	PA

General Provider Information

NPI Number	:	1174989370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL PATRICK TURKOS D.C.

Provider Business Mailing Address
First Line	:	2011 N 5TH ST
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-2709
Country	:	US
Telephone Number	:	973-820-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 PILGRIM WAY
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-0447
Country	:	US
Telephone Number	:	570-992-7626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2016
Last Update Date	:	01/05/2016

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