Healthcare Provider Details

I. General information

NPI: 1407809874
Provider Name (Legal Business Name): JAMES R BAKER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 EAST MAIN STREET
WEST JEFFERSON NC
28694
US

IV. Provider business mailing address

179 MUIRFIELD LANE
JEFFERSON NC
28640
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-3007
  • Fax: 828-859-5042
Mailing address:
  • Phone: 828-817-2017
  • Fax: 828-859-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2244
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: