Provider Demographics
NPI:1104084854
Name:STALZER CHIROPRACTIC INC.
Entity type:Organization
Organization Name:STALZER CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:STALZER
Authorized Official - Suffix:
Authorized Official - Credentials:D,C,
Authorized Official - Phone:818-222-1114
Mailing Address - Street 1:26560 AGOURA RD
Mailing Address - Street 2:#113
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1926
Mailing Address - Country:US
Mailing Address - Phone:818-222-1114
Mailing Address - Fax:818-880-4592
Practice Address - Street 1:26560 AGOURA RD
Practice Address - Street 2:#113
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1926
Practice Address - Country:US
Practice Address - Phone:818-222-1114
Practice Address - Fax:818-880-4592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty