Provider Demographics
NPI:1962401596
Name:LITTLEJOHN, DONALD II (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:LITTLEJOHN
Suffix:II
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 1:7 ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1041
Mailing Address - Country:US
Mailing Address - Phone:845-469-7575
Mailing Address - Fax:845-469-9328
Practice Address - Street 1:7 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1041
Practice Address - Country:US
Practice Address - Phone:845-469-7575
Practice Address - Fax:845-469-9328
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4365-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4470784OtherAETNA PPO (DR NAME)
NY10086242OtherCDPHP
NY261179200OtherFEDERAL WORKERS' COMP
NY1119494002OtherCIGNA
NY1C3863OtherLANDMARK
NY555513OtherAETNA AUSCH DR. NAME
NY76677OtherAETNA AUSCH OFFICE ID
NY000445141001OtherHEALTHNOW (PRISM)
NY0092949OtherGHI ALIGNIS
NYC04365-5BOtherIME (WC)
NYP746592OtherOXFORD
NY05000436 SNY01OtherANTHEM HEALTH
NY1513OtherAMHC
NY1C8858OtherPHS
NY22-2695629-01OtherPRISM
NYX004365-N01OtherHIP
NY22-2695629OtherTAX IDENTIFICATION NUMBER
NYX24831OtherBLUE CROSS BLUE SHIELD
NY10086242OtherCDPHP
NY1513OtherAMHC
NY76677OtherAETNA AUSCH OFFICE ID