Jenifer Baum, D.C.
Individual provider Active NPI Chiropractor · Delafield, WI
NPI 1275926701 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1275926701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5077-12 (WI)
- Practice address
- 403 Genesee St
Delafield, WI 53018-1814 - Phone
- (262) 646-6400
- Fax
- (262) 646-6443
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Delafield Chiropractic LLC
Practice addresses (Care Compare)
403 Genesee St
Delafield, WI 53018-1814
Phone (262) 646-6400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150410001655 | WI | Practitioner - Chiropractic | 3678891280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5077-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delafield Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
403 Genesee St
Delafield, WI 53018
Phone (262) 646-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5077-12 | WI | Yes |
Addresses
Primary practice location
403 Genesee St
Delafield, WI 53018-1814
Mailing address
403 Genesee St
Delafield, WI 53018-1814
Phone (262) 646-6400
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.