MEDICARE: DR. CHRISTINE PATRICIA BARANOWSKI 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	1624	NM

General Provider Information

NPI Number	:	1659420164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE PATRICIA BARANOWSKI D.C.

Provider Business Mailing Address
First Line	:	3 HUNTERS PASS
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87508-4815
Country	:	US
Telephone Number	:	505-424-3976
Fax Number	:	505-424-3976

Provider Business Practice Location Address
First Line	:	2905 RODEO PARK DR E
Second Line	:	BLDG #3
City	:	SANTA FE
State	:	NM
Zip	:	87505-6313
Country	:	US
Telephone Number	:	505-474-8555
Fax Number	:

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	12/10/2007

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