Chan Bao Haldeman, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 4216 Issued in OH

Practice address

1796 Marion Waldo Rd
Marion, OH 43302-7428

Phone

(419) 689-3887

NPI assigned

Nov 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Chan Haldeman Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1124305164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027428",
            "telephone_number": "419-689-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027428",
            "telephone_number": "419-689-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "CHAN",
        "middle_name": "BAO",
        "name_prefix": "Mrs.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC 4216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAN",
            "last_name": "HALDEMAN",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalia Greer
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• Stephen J Grygier, O.D.
• Miranda Nicole Haas
• Daniel Reid Hadden
• Miranda Hale
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• Benny Hamblin
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• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)

• Chiropractor in Marion, OH
• Providers in Marion, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.