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Individual

DONALD LITTLEJOHN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7 ACADEMY AVE, CHESTER, NY 10918-1041
(845) 469-7575
(845) 469-9328
Mailing address
7 ACADEMY AVE, CHESTER, NY 10918-1041
(845) 469-7575
(845) 469-9328

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4365-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000445141001
HEALTHNOW (PRISM)
NY
01
0092949
GHI ALIGNIS
NY
01
05000436 SNY01
ANTHEM HEALTH
NY
01
10086242
CDPHP
NY
01
1119494002
CIGNA
NY
01
1513
AMHC
NY
01
1C3863
LANDMARK
NY
01
1C8858
PHS
NY
01
22-2695629
TAX IDENTIFICATION NUMBER
NY
01
22-2695629-01
PRISM
NY
01
261179200
FEDERAL WORKERS' COMP
NY
01
4470784
AETNA PPO (DR NAME)
NY
01
555513
AETNA AUSCH DR. NAME
NY
01
76677
AETNA AUSCH OFFICE ID
NY
01
C04365-5B
IME (WC)
NY
01
P746592
OXFORD
NY
01
X004365-N01
HIP
NY
01
X24831
BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/15/2005
Last updated
04/02/2010
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