Provider Demographics
NPI:1376513424
Name:DEMALIO, MARK J (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:DEMALIO
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1250 YOUNGSTOWN WARREN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4649
Mailing Address - Country:US
Mailing Address - Phone:330-652-5600
Mailing Address - Fax:330-652-5601
Practice Address - Street 1:1250 YOUNGSTOWN WARREN RD
Practice Address - Street 2:SUITE B
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446
Practice Address - Country:US
Practice Address - Phone:330-652-5600
Practice Address - Fax:330-652-5601
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH1902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000139904OtherANTHEM BCBS
OH0911204Medicaid
OH2303009OtherAETNA
OH341829921003OtherMEDICAL MUTUAL OF OHIO
OH34182992100OtherWORKERS COMP
OH2303009OtherAETNA
OH0911204Medicaid