Provider Demographics
NPI:1285607945
Name:MARSALESE, JEFFREY K (DC, DACBN, CCN)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:K
Last Name:MARSALESE
Suffix:
Gender:M
Credentials:DC, DACBN, CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 NEW TEXAS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2218
Mailing Address - Country:US
Mailing Address - Phone:412-793-2029
Mailing Address - Fax:
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
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-002574-L111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA201961OtherUPMC
PAT28114Medicare UPIN
PA067220Medicare ID - Type Unspecified