Provider Demographics
NPI:1578903027
Name:BAKER CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BAKER CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-726-5299
Mailing Address - Street 1:515 E MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-9441
Mailing Address - Country:US
Mailing Address - Phone:937-639-2060
Mailing Address - Fax:937-639-2061
Practice Address - Street 1:515 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-9441
Practice Address - Country:US
Practice Address - Phone:937-639-2060
Practice Address - Fax:937-639-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty