Provider Demographics
NPI:1689831935
Name:KALMBACH CHIROPRACTIC
Entity Type:Organization
Organization Name:KALMBACH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:N
Authorized Official - Last Name:KALMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-722-9010
Mailing Address - Street 1:2779 BECHELLI LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1924
Mailing Address - Country:US
Mailing Address - Phone:530-722-9010
Mailing Address - Fax:530-722-9013
Practice Address - Street 1:2779 BECHELLI LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1924
Practice Address - Country:US
Practice Address - Phone:530-722-9010
Practice Address - Fax:530-722-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26742261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center