MEDICARE: MICHAEL S. FRIGIOLA 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	DC1701	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11581698	OTHER	PA	CAQH
2	603306300	OTHER	PA	DEPT OF LABOR - OWCP
3	5802962	OTHER	PA	GHI
4	000012812	OTHER	PA	HIGHMARK BLUE CROSS
5	50004880	OTHER	PA	CAPITAL
6	7637449	OTHER	PA	CIGNA
7	0005284070	OTHER	PA	AETNA HEALTH MGMT, LLC
8	50004880	OTHER	PA	CAPITAL BLUE CROSS
9	000012812	OTHER	PA	BLUECARE PPO
10	2327552830	OTHER	PA	HORIZON BLUE CROSS OF NJ
11	9206993	OTHER	PA	PHCS
12	810228	OTHER	PA	FIRST PRIORITY HEALTH

General Provider Information

NPI Number	:	1679535090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S. FRIGIOLA D.C.

Provider Business Mailing Address
First Line	:	110 SHAFER DR
Second Line	:	UNIT 101
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-7154
Country	:	US
Telephone Number	:	570-992-7800
Fax Number	:	570-992-0494

Provider Business Practice Location Address
First Line	:	110 SHAFER DR
Second Line	:	UNIT 101
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-7154
Country	:	US
Telephone Number	:	570-992-7800
Fax Number	:	570-992-0494

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	09/07/2018

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