Provider Demographics
NPI:1942616255
Name:MALCHOW CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MALCHOW CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALCHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-246-1787
Mailing Address - Street 1:1101 SIERRA LINDA DR
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-7668
Mailing Address - Country:US
Mailing Address - Phone:619-246-1787
Mailing Address - Fax:
Practice Address - Street 1:12145 ALTA CARMEL CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-3842
Practice Address - Country:US
Practice Address - Phone:619-246-1787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14982261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service