Provider Demographics
NPI:1851331763
Name:SCALISE, WILLIAM F (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:SCALISE
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 1:12280 LINCOLN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642
Mailing Address - Country:US
Mailing Address - Phone:724-864-7447
Mailing Address - Fax:724-864-8022
Practice Address - Street 1:12280 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-864-7447
Practice Address - Fax:724-864-8022
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005162L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1665067OtherBLUES
415878Medicare ID - Type Unspecified
U37671Medicare UPIN