Provider Demographics
NPI:1720175904
Name:SKLAR, NATHAN (DC)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:SKLAR
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 1:23502 LYONS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321
Mailing Address - Country:US
Mailing Address - Phone:661-222-7401
Mailing Address - Fax:661-964-0440
Practice Address - Street 1:23502 LYONS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321
Practice Address - Country:US
Practice Address - Phone:661-222-7401
Practice Address - Fax:661-964-0440
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor