Provider Demographics
NPI:1356332241
Name:DALBEY, PAUL DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:DALBEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 KACEY CT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-9226
Mailing Address - Country:US
Mailing Address - Phone:717-591-1336
Mailing Address - Fax:717-591-1337
Practice Address - Street 1:5 KACEY CT
Practice Address - Street 2:SUITE 202
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-9226
Practice Address - Country:US
Practice Address - Phone:717-591-1336
Practice Address - Fax:717-591-1337
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003085L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000162038OtherHIGHMARK BLUE SHIELD
PA001211485Medicaid
PA0831047OtherAETNA
PA480006459OtherPALMETTO GBA RAILROAD MED
PA02620000OtherCAPITAL BLUECROSS
PA02620000OtherCAPITAL BLUECROSS
PA001211485Medicaid