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NPI Code Detail

MEDICARE: DR. ANDREW J BAER DC

MEDICARE: DR. ANDREW J BAER DC
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
1111N00000XChiropractor4711KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000354203OTHERKYANTHEM

General Provider Information

NPI Number : 1811081151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW J BAER DC
Provider Business Mailing Address
First Line : 2240 TAYLORSVILLE ROAD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204
Country : US
Telephone Number : 502-479-9885
Fax Number : 502-479-9875
Provider Business Practice Location Address
First Line : 2240 TAYLORSVILLE ROAD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205
Country : US
Telephone Number : 502-479-9885
Fax Number : 502-479-9875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 10/23/2007

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