Provider Demographics
NPI:1639363252
Name:BALDWIN CHIROPRACTIC HEALTH & WELLNESS
Entity Type:Organization
Organization Name:BALDWIN CHIROPRACTIC HEALTH & WELLNESS
Other - Org Name:VALLEY CENTER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-755-9898
Mailing Address - Street 1:209 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:VALLEY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67147-2248
Mailing Address - Country:US
Mailing Address - Phone:316-755-9898
Mailing Address - Fax:316-755-9899
Practice Address - Street 1:209 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:VALLEY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67147-2248
Practice Address - Country:US
Practice Address - Phone:316-755-9898
Practice Address - Fax:316-755-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty