Baldwin Chiropractic, PSC
Organization Active NPI Chiropractor · Richmond, KY
NPI 1346375441 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1346375441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4368 (KY)
- Legal business name
- BALDWIN CHIROPRACTIC, PSC
- Practice address
- 5021 Atwood Dr
Richmond, KY 40475-8898 - Phone
- (859) 625-5777
- Fax
- (859) 625-5788
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric James Baldwin, D.C.
- Title
- President
- Phone
- (859) 625-5777
Practitioners 1
-
Eric James Baldwin, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131014000436 | KY | Part B Supplier - Clinic/Group Practice | 1254565971 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, KY |
National Provider Directory
Locations
5021 Atwood Dr
Richmond, KY 40475
Phone (859) 625-5777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4368 | KY | Yes |
Addresses
Primary practice location
5021 Atwood Dr
Richmond, KY 40475-8898
Mailing address
5021 Atwood Dr
Richmond, KY 40475-8898
Phone (859) 625-5777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000610 | Medicaid | KY |
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.