Provider Demographics
NPI:1821878794
Name:BALDWIN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BALDWIN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:276-970-2520
Mailing Address - Street 1:305 ALLEGHENY ST
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-2346
Mailing Address - Country:US
Mailing Address - Phone:276-971-5457
Mailing Address - Fax:276-971-7076
Practice Address - Street 1:305 ALLEGHENY ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2346
Practice Address - Country:US
Practice Address - Phone:276-971-5457
Practice Address - Fax:276-971-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty