Provider Demographics
NPI:1881283794
Name:PIROLLI, ALEXANDER (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:PIROLLI
Suffix:
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 1:142 MUNDY ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702-6875
Mailing Address - Country:US
Mailing Address - Phone:570-371-0398
Mailing Address - Fax:
Practice Address - Street 1:142 MUNDY ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702-6875
Practice Address - Country:US
Practice Address - Phone:570-371-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor