Provider Demographics
NPI:1790903193
Name:DR F STEVEN BARON PC
Entity Type:Organization
Organization Name:DR F STEVEN BARON PC
Other - Org Name:BAY STATE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDRIC
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-744-8800
Mailing Address - Street 1:405 FREDERICK RD STE 15
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4607
Mailing Address - Country:US
Mailing Address - Phone:410-744-8800
Mailing Address - Fax:410-744-8802
Practice Address - Street 1:405 FREDERICK RD STE 15
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4607
Practice Address - Country:US
Practice Address - Phone:410-744-8800
Practice Address - Fax:410-744-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01288111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD600822100OtherACS
MD2127153OtherMAMSI MDIPA OPC
MDJ7940001OtherBCHOICEBPREFERREDFBC
MDP00213679OtherPALMETTO GBA
MD860ABAOtherBX MD
MD002410885001OtherUHC
MD008706800Medicaid
MD1548283070OtherPERSONAL NPI NUMBER
MD665525OtherACN
MD600822100OtherACS
MDP00213679OtherPALMETTO GBA