Provider Demographics
NPI:1922053743
Name:BAKER CHIROPRACTIC & REHABILITATION, INC
Entity Type:Organization
Organization Name:BAKER CHIROPRACTIC & REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-469-9600
Mailing Address - Street 1:305 CAMP HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2604
Mailing Address - Country:US
Mailing Address - Phone:412-469-9600
Mailing Address - Fax:412-469-9901
Practice Address - Street 1:305 CAMP HOLLOW RD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2604
Practice Address - Country:US
Practice Address - Phone:412-469-9600
Practice Address - Fax:412-469-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007555-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA203265OtherUPMC
PA203265OtherUPMC