Provider Demographics
NPI:1952553299
Name:MARSALESE CHIROPRACTIC OFFICES PC
Entity Type:Organization
Organization Name:MARSALESE CHIROPRACTIC OFFICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARSALESE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-468-8133
Mailing Address - Street 1:4018 SALTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-9774
Mailing Address - Country:US
Mailing Address - Phone:412-793-3030
Mailing Address - Fax:412-793-3172
Practice Address - Street 1:4018 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-9774
Practice Address - Country:US
Practice Address - Phone:412-793-3030
Practice Address - Fax:412-793-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004379L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU01732Medicare UPIN