Healthcare Provider Details
I. General information
NPI: 1548307358
Provider Name (Legal Business Name): DANIEL K BAIRD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5600 W DARTMOUTH AVE #104
DENVER CO
80227-5546
US
IV. Provider business mailing address
5600 W DARTMOUTH AVE #104
DENVER CO
80227-5546
US
V. Phone/Fax
- Phone: 303-985-5557
- Fax: 303-313-1372
- Phone: 303-985-5557
- Fax: 303-313-1372
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 1475 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: