Basic Information
| Provider Information | |||||||||
| NPI: | 1225538036 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALAIMO | ||||||||
| FirstName: | RICHARD | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 191 HUNTSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 186121716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705742759 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1111 E END BLVD | ||||||||
| Address2: | |||||||||
| City: | WILKES BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187110030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708243521 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2018 | ||||||||
| LastUpdateDate: | 02/19/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 227800000X | YM005837L | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | 163WC0200X | RN531504 | PA | Y | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No ID Information.