Provider Demographics
NPI:1639375827
Name:TINAMARIE A ALAIMO
Entity Type:Organization
Organization Name:TINAMARIE A ALAIMO
Other - Org Name:BACK TO LIFE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TINAMARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALAIMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-377-3333
Mailing Address - Street 1:415 MAHONING ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1351
Mailing Address - Country:US
Mailing Address - Phone:610-377-3333
Mailing Address - Fax:
Practice Address - Street 1:415 MAHONING ST
Practice Address - Street 2:SUITE 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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007870L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU84163Medicare UPIN