Provider Demographics
NPI:1649551722
Name:SALEGO, JOEL JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:JAMES
Last Name:SALEGO
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 1:1112 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1024
Mailing Address - Country:US
Mailing Address - Phone:843-640-9758
Mailing Address - Fax:
Practice Address - Street 1:105 EKASTOWN RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9404
Practice Address - Country:US
Practice Address - Phone:843-640-9758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor