Gary L. Baney, D.C.

Individual provider Active NPI Chiropractor · Roaring Spring, PA

NPI 1457577041 · NPPES record last updated Sep 22, 2011

Key facts

NPI
1457577041
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC001500L (PA)
Practice address
7566 Woodbury Pike
Roaring Spring, PA 16673-0252
Phone
(814) 224-4511
Fax
(814) 224-2529
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001500L PA Yes

Addresses

Primary practice location

7566 Woodbury Pike
Roaring Spring, PA 16673-0252

Mailing address

7566 Woodbury Pike
PO Box 252
Roaring Spring, PA 16673-0252
Phone (814) 224-4511

Other identifiers

IdentifierTypeStateIssuer
0006239660001MedicaidPA
350409030OtherPARAILROAD MEDICARE

Other providers in Roaring Spring, PA

All providers in Roaring Spring, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.