Provider Demographics
NPI:1891005682
Name:BAINTER, RAQUELLE FRANCHESCA (DC)
Entity Type:Individual
Prefix:MS
First Name:RAQUELLE
Middle Name:FRANCHESCA
Last Name:BAINTER
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:PO BOX 553
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:67740-0553
Mailing Address - Country:US
Mailing Address - Phone:785-657-7104
Mailing Address - Fax:785-675-3649
Practice Address - Street 1:303 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1927
Practice Address - Country:US
Practice Address - Phone:785-421-2800
Practice Address - Fax:785-675-3649
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6014111N00000X
KS01-05370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS352929OtherBLUE CROSS AND BLUE SHIELD
KSKA2221001Medicare PIN