MEDICARE: DR. CHRISTOPHER ALAN BAUER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	111N00000X	MO

General Provider Information

NPI Number	:	1548485287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ALAN BAUER D.C.

Provider Business Mailing Address
First Line	:	1618 POLAR DR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3357
Country	:	US
Telephone Number	:	636-639-8056
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 PETER ST
Second Line	:
City	:	NEW MELLE
State	:	MO
Zip	:	63365
Country	:	US
Telephone Number	:	636-828-5151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/08/2007

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