Provider Demographics
NPI:1083998249
Name:SALEGO ENTERPRISES, INC.
Entity Type:Organization
Organization Name:SALEGO ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALEGO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-640-9758
Mailing Address - Street 1:105 EKASTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-9404
Mailing Address - Country:US
Mailing Address - Phone:843-640-9758
Mailing Address - Fax:
Practice Address - Street 1:1627 UNION AVE
Practice Address - Street 2:SUITE NUMBER 2
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2143
Practice Address - Country:US
Practice Address - Phone:843-640-9758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC010444111NN1001X
PADC010444111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty