Mark H Bauer, D.C.
Individual provider Active NPI Chiropractor · Wichita, KS
NPI 1811044480 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811044480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4073 (KS)
- Practice address
- 8620 E 32ND CT N
Wichita, KS 67226-4007 - Phone
- (316) 612-0600
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4073 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babcock Chiropractic & Wellness Center Inc. | Chiropractor | Past | Accepting new patients |
| Allied Medical PA | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4073 | KS | Yes |
Addresses
Primary practice location
8620 E 32ND CT N
Wichita, KS 67226-4007
Mailing address
PO Box 19624
Lenexa, KS 66285-9624
Phone (913) 206-6434
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.