Provider Demographics
NPI:1982916243
Name:CINDA A LIGGON, MD, PC
Entity type:Organization
Organization Name:CINDA A LIGGON, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CINDA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LIGGON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-496-8521
Mailing Address - Street 1:38 BLACK AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2115
Mailing Address - Country:US
Mailing Address - Phone:717-496-8521
Mailing Address - Fax:
Practice Address - Street 1:38 BLACK AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2115
Practice Address - Country:US
Practice Address - Phone:717-496-8521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-065289L2084P0800X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001733096Medicaid
023373Medicare PIN
E97590Medicare UPIN