MEDICARE: ROBERT J BAUMBICK DC INC

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	2431	OH

General Provider Information

NPI Number	:	1689841777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J BAUMBICK DC INC

Provider Business Mailing Address
First Line	:	35095 CENTER RIDGE RD
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-3081
Country	:	US
Telephone Number	:	440-353-0707
Fax Number	:	440-353-0252

Provider Business Practice Location Address
First Line	:	35095 CENTER RIDGE RD
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-3081
Country	:	US
Telephone Number	:	440-353-0707
Fax Number	:	440-353-0252

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT J BAUMBICK
Credential	:	DC
Telephone Number	:	440-353-0707

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	07/12/2012

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