MEDICARE: DR. PAUL BAKER 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	1888	OH

General Provider Information

NPI Number	:	1750322996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL BAKER D.C.

Provider Business Mailing Address
First Line	:	4625 RED BANK RD STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-1528
Country	:	US
Telephone Number	:	513-561-2273
Fax Number	:	513-561-5173

Provider Business Practice Location Address
First Line	:	4625 RED BANK RD STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-1528
Country	:	US
Telephone Number	:	513-561-2273
Fax Number	:	135-561-5173

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/04/2019

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