Provider Demographics
NPI:1982230900
Name:BAIR, JAYLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAYLENE
Middle Name:
Last Name:BAIR
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 1:1249 KILDAIRE FARM RD # 207
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5523
Mailing Address - Country:US
Mailing Address - Phone:919-443-5580
Mailing Address - Fax:
Practice Address - Street 1:953 N HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3904
Practice Address - Country:US
Practice Address - Phone:919-443-9775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor