Basic Information
| Provider Information | |||||||||
| NPI: | 1780602383 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKALOW | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | DEREK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 CAMINO EL ESTERO | ||||||||
| Address2: | STE 204 | ||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939403231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8313755151 | ||||||||
| FaxNumber: | 8313756682 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 CAMINO EL ESTERO | ||||||||
| Address2: | STE 204 | ||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939403231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8313755151 | ||||||||
| FaxNumber: | 8313756682 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | DC11690 | CA | Y | Chiropractic Providers | Chiropractor |
No ID Information.