Provider Demographics
NPI:1831108216
Name:CASALINO, RONALD J (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:CASALINO
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 1:702B BALDWIN DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3848
Mailing Address - Country:US
Mailing Address - Phone:229-630-0474
Mailing Address - Fax:847-854-8652
Practice Address - Street 1:702B BALDWIN DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3848
Practice Address - Country:US
Practice Address - Phone:229-630-0474
Practice Address - Fax:847-854-8652
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010618111N00000X
GA4679111N00000X
SC1374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor