Provider Demographics
NPI:1598722282
Name:KALKSTEIN, WILLIAM F (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:KALKSTEIN
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 1:219 BRINTON AVE
Mailing Address - Street 2:
Mailing Address - City:TRAFFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15085-1038
Mailing Address - Country:US
Mailing Address - Phone:412-372-1955
Mailing Address - Fax:412-372-3773
Practice Address - Street 1:219 BRINTON AVE
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1038
Practice Address - Country:US
Practice Address - Phone:412-372-1955
Practice Address - Fax:412-372-3773
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006311-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA844198OtherBLUE CROSS/BLUE SHIELD
PA844198OtherBLUE CROSS/BLUE SHIELD