MEDICARE: DR. NICOLE J LINSKEY FERENTINO 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	DC008816	PA

General Provider Information

NPI Number	:	1558402396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE J LINSKEY FERENTINO DC

Provider Business Mailing Address
First Line	:	3002 N TWP BLVD
Second Line	:	PITTSTON TWP
City	:	PITTSTON TWP
State	:	PA
Zip	:	18640
Country	:	US
Telephone Number	:	570-602-1590
Fax Number	:	570-602-1592

Provider Business Practice Location Address
First Line	:	3002 N TWP BLVD
Second Line	:	PITTSTON TWP
City	:	PITTSTON TWP
State	:	PA
Zip	:	18640
Country	:	US
Telephone Number	:	570-602-1590
Fax Number	:	570-602-1592

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	01/04/2013

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