MEDICARE: DR. WILLIAM F KALKSTEIN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC006311-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	844198	OTHER	PA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1598722282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM F KALKSTEIN D.C.

Provider Business Mailing Address
First Line	:	219 BRINTON AVE
Second Line	:
City	:	TRAFFORD
State	:	PA
Zip	:	15085-1038
Country	:	US
Telephone Number	:	412-372-1955
Fax Number	:	412-372-3773

Provider Business Practice Location Address
First Line	:	219 BRINTON AVE
Second Line	:
City	:	TRAFFORD
State	:	PA
Zip	:	15085-1038
Country	:	US
Telephone Number	:	412-372-1955
Fax Number	:	412-372-3773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. WILLIAM F KALKSTEIN D.C.” Practice Location

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