Provider Demographics
NPI:1265480792
Name:TRINKLEY, TODD B (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:B
Last Name:TRINKLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8075 RTE 286 HWY W
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-8686
Mailing Address - Country:US
Mailing Address - Phone:724-479-0442
Mailing Address - Fax:724-479-2930
Practice Address - Street 1:8075 RTE 286 HWY W
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-8686
Practice Address - Country:US
Practice Address - Phone:724-479-0442
Practice Address - Fax:724-479-2930
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006734L111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017245240002Medicaid
PA0016584470003Medicaid
PA528694N5RMedicare ID - Type UnspecifiedDR TRINKLEY ID
PA038597Medicare ID - Type UnspecifiedGROUP ID
PA0017245240002Medicaid