Provider Demographics
NPI:1710013313
Name:BAUMAN, MARIANNE TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:TAYLOR
Last Name:BAUMAN
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 1:3613 N HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-9743
Mailing Address - Country:US
Mailing Address - Phone:850-785-8311
Mailing Address - Fax:850-872-9892
Practice Address - Street 1:3613 N HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-9743
Practice Address - Country:US
Practice Address - Phone:850-785-8311
Practice Address - Fax:850-872-9892
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT56000Medicare UPIN
FLK-2643Medicare ID - Type Unspecified