Provider Demographics
NPI:1619022993
Name:NOLFO, SALVATORE (DC)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:NOLFO
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 1:1341 W ROBINHOOD DR STE A7
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5518
Mailing Address - Country:US
Mailing Address - Phone:209-957-1500
Mailing Address - Fax:209-957-1555
Practice Address - Street 1:1341 W ROBINHOOD DR STE A7
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5518
Practice Address - Country:US
Practice Address - Phone:209-957-1500
Practice Address - Fax:209-957-1555
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor