Healthcare Provider Details

I. General information

NPI: 1336120179
Provider Name (Legal Business Name): JEFFREY LEONARD BAIER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 SOUTHWIND DR
JUNCTION CITY KS
66441-2644
US

IV. Provider business mailing address

4815 BANNER LN
MANHATTAN KS
66502-2315
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-4670
  • Fax:
Mailing address:
  • Phone: 913-337-6298
  • Fax: 620-275-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4740
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: