MEDICARE: DR. TIFFANY MICHELLE TALARICO DC

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	DC010137	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467681403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANY MICHELLE TALARICO DC

Provider Business Mailing Address
First Line	:	42 E MAIDEN ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4912
Country	:	US
Telephone Number	:	724-225-2225
Fax Number	:	724-225-5746

Provider Business Practice Location Address
First Line	:	42 E MAIDEN ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4912
Country	:	US
Telephone Number	:	724-225-2225
Fax Number	:	724-225-5746

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

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	11/04/2015

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