=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891005682
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAQUELLE FRANCHESCA BAINTER D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2010
-----------------------------------------------------
Last Update Date | 07/06/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 303 W MAIN ST
-----------------------------------------------------
City | HILL CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67642-1927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-421-2800
-----------------------------------------------------
Fax | 785-675-3649
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 553
-----------------------------------------------------
City | HOXIE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67740-0553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-657-7104
-----------------------------------------------------
Fax | 785-675-3649
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 6014
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 01-05370
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------