Provider Demographics
NPI:1154576528
Name:KALKSTEIN FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:KALKSTEIN FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGUILIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-372-4343
Mailing Address - Street 1:1000 JACKS RUN ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15239
Mailing Address - Country:US
Mailing Address - Phone:412-816-0100
Mailing Address - Fax:412-816-0103
Practice Address - Street 1:1000 JACKS RUN RD
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-2744
Practice Address - Country:US
Practice Address - Phone:412-816-0100
Practice Address - Fax:412-816-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty