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NPI Code Detail

MEDICARE: DR. BALDOMERO NUNEZ JR. D.C.

MEDICARE:  DR. BALDOMERO  NUNEZ JR. 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
1111N00000XChiropractor4022KY
2111N00000XChiropractor08001467AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558365254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BALDOMERO NUNEZ JR. D.C.
Provider Business Mailing Address
First Line : PO BOX 272
Second Line :
City : HENDERSON
State : KY
Zip : 42419-0272
Country : US
Telephone Number : 270-869-8566
Fax Number : 270-869-8568
Provider Business Practice Location Address
First Line : 312 3RD ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2906
Country : US
Telephone Number : 270-869-8566
Fax Number : 270-869-8568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/25/2008

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Directions to “ DR. BALDOMERO NUNEZ JR. D.C.” Practice Location

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