Healthcare Provider Details

I. General information

NPI: 1902145162
Provider Name (Legal Business Name): DONALD L VALENTINE, DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5927 STATE ROUTE 981 SUITE 5
LATROBE PA
15650-2687
US

IV. Provider business mailing address

5927 STATE ROUTE 981 SUITE 5
LATROBE PA
15650-2687
US

V. Phone/Fax

Practice location:
  • Phone: 724-539-1633
  • Fax: 724-539-1634
Mailing address:
  • Phone: 724-539-1633
  • Fax: 724-539-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD VALENTINE
Title or Position: OWNER
Credential: DC
Phone: 724-539-1633