MEDICARE: DR. FRANK THOMAS SKIRPAN 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	111NS0005X	Sports Physician Chiropractor	DC002863L	PA

General Provider Information

NPI Number	:	1912180324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK THOMAS SKIRPAN D.C.

Provider Business Mailing Address
First Line	:	781 VALLEY ST
Second Line	:
City	:	MARYSVILLE
State	:	PA
Zip	:	17053-9781
Country	:	US
Telephone Number	:	717-957-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	781 VALLEY ST
Second Line	:
City	:	MARYSVILLE
State	:	PA
Zip	:	17053-9781
Country	:	US
Telephone Number	:	717-957-4198
Fax Number	:

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

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	04/29/2008

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