Provider Demographics
NPI:1013922004
Name:BAIRD, CURTIS RALPH (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:RALPH
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-1921
Mailing Address - Country:US
Mailing Address - Phone:618-656-6565
Mailing Address - Fax:618-656-6947
Practice Address - Street 1:239 S MAIN ST
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-1921
Practice Address - Country:US
Practice Address - Phone:618-656-6565
Practice Address - Fax:618-656-6947
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-004680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL06032158OtherBLUE CROSS ILLINOIS
IL31971OtherBLUE CROSS MISSOURI
IL702198OtherHEALTHLINK
IL5403493OtherAETNA
ILT38995OtherUNITED HEALTHCARE
IL6681776OtherCIGNA
ILK18311Medicare ID - Type Unspecified