Healthcare Provider Details

I. General information

NPI: 1043155369
Provider Name (Legal Business Name): BAUM CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 KEHRS MILL RD
BALLWIN MO
63011-2402
US

IV. Provider business mailing address

972 KEHRS MILL RD
BALLWIN MO
63011-2402
US

V. Phone/Fax

Practice location:
  • Phone: 636-394-4101
  • Fax: 636-394-3022
Mailing address:
  • Phone: 636-394-4101
  • Fax: 636-394-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY WASHINGTON
Title or Position: BILLING SPECIALIST
Credential:
Phone: 636-394-4101