Provider Demographics
NPI:1114438306
Name:BAUMAN, ANDREW P (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:BAUMAN
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 1:3037 LAUDERDALE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7800
Mailing Address - Country:US
Mailing Address - Phone:804-360-2447
Mailing Address - Fax:804-364-0972
Practice Address - Street 1:3037 LAUDERDALE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7800
Practice Address - Country:US
Practice Address - Phone:804-360-2447
Practice Address - Fax:804-364-0972
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor