Tigue-Petroski, Lynnita M

Tigue-Petroski, Lynnita M is an individual health care provider with primary practice located at 98 Forest Dr Suite 2, Lords Valley PA 18428-6140. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Tigue-Petroski, Lynnita M can be contacted via phone (570) 775-6205.

Contact Information

Primary practice address
98 Forest Dr Suite 2 Lords Valley PA 18428-6140
Phone: (570) 775-6205
Fax: (570) 775-6205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC008740 Pennsylvania

Profile Details

NPI number 1922169200
LBN Legal business name Tigue-Petroski, Lynnita M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922169200 NPPES
Pennsylvania MEDICAID 1012312930001
Pennsylvania Other 818148
Pennsylvania Other 1640258
Pennsylvania Other 056426TEX
Pennsylvania Other 201331634

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