Provider Demographics
NPI:1588629356
Name:MARSALESE, STEVE DALO (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:DALO
Last Name:MARSALESE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1969 STATE ROUTE 286
Mailing Address - Street 2:
Mailing Address - City:SALTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15681-2274
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6518 ROUTE 22
Practice Address - Street 2:STE 458
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-2410
Practice Address - Country:US
Practice Address - Phone:724-468-8133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004379L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA612444OtherHIGHMARK BCBS ID NUMBER
PA308159OtherUPMC PROVIDER NUMBER
PA308159OtherUPMC PROVIDER NUMBER