Provider Demographics
NPI:1891768305
Name:AIVALOTIS, DONALD LEE II (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:AIVALOTIS
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 1:195 DARLENE DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9354
Mailing Address - Country:US
Mailing Address - Phone:412-498-1422
Mailing Address - Fax:
Practice Address - Street 1:7900 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:PA
Practice Address - Zip Code:15126-9139
Practice Address - Country:US
Practice Address - Phone:724-695-3455
Practice Address - Fax:724-695-3456
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007995L111N00000X
PAAJ007995L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000898673OtherHIGHMARK BCBS NUMBER
PA2979130OtherAETNA HMO NUMBER
PA410365OtherUPMC NUMBER
PA7626408OtherAETNA PPO NUMBER
PA2979130OtherAETNA HMO NUMBER
PA7626408OtherAETNA PPO NUMBER