Provider Demographics
NPI:1144391863
Name:KALB, JOHN M (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:KALB
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 1:450 SISKIYOU BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-5107
Mailing Address - Country:US
Mailing Address - Phone:541-488-3001
Mailing Address - Fax:541-552-9481
Practice Address - Street 1:450 SISKIYOU BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-5107
Practice Address - Country:US
Practice Address - Phone:541-488-3001
Practice Address - Fax:541-552-9481
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27 1738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor