Baker Chiropractic Clinic PC
Organization Active NPI Chiropractor · Sandpoint, ID
NPI 1972680973 · NPPES record last updated Sep 10, 2014
Key facts
- NPI
- 1972680973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA969 (ID)
- Legal business name
- BAKER CHIROPRACTIC CLINIC PC
- Practice address
- 102 S Euclid Ave
Ste 109
Sandpoint, ID 83864-4912 - Phone
- (208) 263-2247
- Fax
- (208) 263-2268
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rick Allan Baker, DC
- Title
- President
- Phone
- (208) 263-2247
Practitioners 1
National Provider Directory
Locations
30410 Highway 200
Ste 202
Ponderay, ID 83852
Phone (208) 263-2247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIA969 | ID | Yes |
Addresses
Primary practice location
102 S Euclid Ave
Ste 109
Sandpoint, ID 83864-4912
Mailing address
102 S Euclid Ave
Ste 109
Sandpoint, ID 83864-4912
Phone (208) 263-2247
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806495100 | Medicaid | ID |
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2014. 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.