Provider Demographics
NPI:1104047729
Name:ALAIMO, TINAMARIE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:TINAMARIE
Middle Name:ANN
Last Name:ALAIMO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MAHONING ST.
Mailing Address - Street 2:STE. C.
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 MAHONING ST.
Practice Address - Street 2:STE. C.
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1351
Practice Address - Country:US
Practice Address - Phone:610-377-3333
Practice Address - Fax:610-377-1545
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007870L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU84163Medicare UPIN
PA046362Medicare ID - Type Unspecified