Provider Demographics
NPI:1245279363
Name:SALOB, HOWARD DAVID (DC)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:DAVID
Last Name:SALOB
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 1:685 CITADEL DR E STE 669
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5453
Mailing Address - Country:US
Mailing Address - Phone:719-597-6241
Mailing Address - Fax:719-597-6241
Practice Address - Street 1:685 CITADEL DR E STE 669
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5453
Practice Address - Country:US
Practice Address - Phone:719-597-6241
Practice Address - Fax:719-698-9944
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007551111N00000X
COCHR.0007353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007551OtherLICENSE
NYC07551-7OtherWORKER'S COMPENSATION
NYS7553Medicare UPIN
NYC07551-7OtherWORKER'S COMPENSATION