Provider Demographics
NPI:1679735682
Name:BAKER CHIROPRACTIC AND REHABILITATION, L.L.P
Entity type:Organization
Organization Name:BAKER CHIROPRACTIC AND REHABILITATION, L.L.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-437-0888
Mailing Address - Street 1:317 SANFORD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2573
Mailing Address - Country:US
Mailing Address - Phone:828-437-0888
Mailing Address - Fax:828-437-1020
Practice Address - Street 1:317 SANFORD DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2573
Practice Address - Country:US
Practice Address - Phone:828-437-0888
Practice Address - Fax:828-437-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
9163226OtherAETNA PIN
086A6OtherBLUECROSS BLUESHIELD OF NORTH CAROLINA
NC7200197Medicaid
6134190001Medicare NSC
2456066Medicare PIN