Provider Demographics
NPI:1932462355
Name:BAKER, ELIZABETH A (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:BAKER
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 MARYLAND WAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7565
Mailing Address - Country:US
Mailing Address - Phone:615-309-8279
Mailing Address - Fax:615-309-8298
Practice Address - Street 1:5107 MARYLAND WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7565
Practice Address - Country:US
Practice Address - Phone:615-309-8279
Practice Address - Fax:615-309-8298
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor