Provider Demographics
NPI:1679621304
Name:KALB CHIROPRACTIC HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:KALB CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KALB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-488-3001
Mailing Address - Street 1:450 SISKIYOU BLVD
Mailing Address - Street 2:
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:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR271738261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service