Provider Demographics
NPI:1497059265
Name:KHALSA, SAIBHUNG KAUR (DC)
Entity Type:Individual
Prefix:DR
First Name:SAIBHUNG
Middle Name:KAUR
Last Name:KHALSA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 E MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2317
Mailing Address - Country:US
Mailing Address - Phone:603-371-0554
Mailing Address - Fax:
Practice Address - Street 1:67 E MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2317
Practice Address - Country:US
Practice Address - Phone:603-371-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH843-0609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor