Healthcare Provider Details

I. General information

NPI: 1558608497
Provider Name (Legal Business Name): JUSTIN BAKER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 JOHNSON RD STE 2
STEUBENVILLE OH
43952-2362
US

IV. Provider business mailing address

380 SUMMIT AVE MSO PHYSICIAN BILLING
STEUBENVILLE OH
43952-2667
US

V. Phone/Fax

Practice location:
  • Phone: 740-266-3866
  • Fax: 740-266-3865
Mailing address:
  • Phone: 740-283-7597
  • Fax: 740-283-7807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC010705
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4347
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: