Provider Demographics
NPI:1912180324
Name:SKIRPAN, FRANK THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:THOMAS
Last Name:SKIRPAN
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 1:781 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17053-9781
Mailing Address - Country:US
Mailing Address - Phone:717-957-4198
Mailing Address - Fax:
Practice Address - Street 1:781 VALLEY ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17053-9781
Practice Address - Country:US
Practice Address - Phone:717-957-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002863L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU01340Medicare UPIN