Provider Demographics
NPI:1871694430
Name:CIOBANU, ALINA DIANA (DC)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:DIANA
Last Name:CIOBANU
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 1:3 LIFEMARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960
Mailing Address - Country:US
Mailing Address - Phone:215-258-0155
Mailing Address - Fax:215-258-0112
Practice Address - Street 1:3 LIFEMARK DRIVE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960
Practice Address - Country:US
Practice Address - Phone:215-258-0155
Practice Address - Fax:215-258-0112
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC8612111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01858340Medicaid
PA053141Medicare PIN
U87946Medicare UPIN