Provider Demographics
NPI:1437785086
Name:BAAAK GROUP INC
Entity Type:Organization
Organization Name:BAAAK GROUP INC
Other - Org Name:DAPHNE ACUPUNCTURE & CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:BLACKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-286-0007
Mailing Address - Street 1:2200 US HIGHWAY 98 STE 4341
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4395
Mailing Address - Country:US
Mailing Address - Phone:251-286-0007
Mailing Address - Fax:
Practice Address - Street 1:2200 US HIGHWAY 98 STE 4341
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4395
Practice Address - Country:US
Practice Address - Phone:251-286-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service