Provider Demographics
NPI:1831913185
Name:KALONTUROS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:KALONTUROS CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KALONTUROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-899-0346
Mailing Address - Street 1:PO BOX 691
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95461-0691
Mailing Address - Country:US
Mailing Address - Phone:707-740-8391
Mailing Address - Fax:
Practice Address - Street 1:15784 DOUGLAS ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CA
Practice Address - Zip Code:95461
Practice Address - Country:US
Practice Address - Phone:707-740-8391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty