Provider Demographics
NPI:1821256686
Name:BAYE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:BAYE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAYE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-532-0094
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:LA
Mailing Address - Zip Code:70375-0289
Mailing Address - Country:US
Mailing Address - Phone:985-532-0094
Mailing Address - Fax:985-532-8044
Practice Address - Street 1:4912 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-532-0094
Practice Address - Fax:985-532-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAV03571Medicare UPIN