Provider Demographics
NPI:1225250970
Name:CALDWELL, FREDERICK G (DC)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:G
Last Name:CALDWELL
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 1:1933 W CALDWELL AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8050
Mailing Address - Country:US
Mailing Address - Phone:559-734-2225
Mailing Address - Fax:559-734-2710
Practice Address - Street 1:1933 W CALDWELL AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8050
Practice Address - Country:US
Practice Address - Phone:559-734-2225
Practice Address - Fax:559-734-2710
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor