Provider Demographics
NPI:1962588665
Name:SALANGER, CHARLES PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:PATRICK
Last Name:SALANGER
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 1:8304 CLAIREMONT MESA BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1315
Mailing Address - Country:US
Mailing Address - Phone:858-565-8645
Mailing Address - Fax:858-565-4207
Practice Address - Street 1:8304 CLAIREMONT MESA BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1315
Practice Address - Country:US
Practice Address - Phone:858-565-8645
Practice Address - Fax:858-565-4207
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU46624Medicare UPIN
CADC18174Medicare ID - Type Unspecified