Provider Demographics
NPI:1497703235
Name:BAYS-SMITH, SALLY JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:JEAN
Last Name:BAYS-SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-1828
Mailing Address - Country:US
Mailing Address - Phone:989-771-2225
Mailing Address - Fax:989-754-2225
Practice Address - Street 1:3985 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-1828
Practice Address - Country:US
Practice Address - Phone:989-771-2225
Practice Address - Fax:989-754-2225
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIV03689Medicare UPIN