MEDICARE: DR. ALESHKA CALDERON 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	CHIR008949	GA
2	111N00000X	Chiropractor	6257	MN

General Provider Information

NPI Number	:	1649538877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALESHKA CALDERON D.C.

Provider Business Mailing Address
First Line	:	1021 PARALLEL ST
Second Line	:
City	:	CHASKA
State	:	MN
Zip	:	55318-2468
Country	:	US
Telephone Number	:	787-428-5788
Fax Number	:

Provider Business Practice Location Address
First Line	:	6409 CITY WEST PKWY
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7845
Country	:	US
Telephone Number	:	612-562-9692
Fax Number	:

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

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	09/30/2016

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