MEDICARE: DR. DAVID C. BAKER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08001858	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	31-1144077	OTHER	IN	FEDERAL ID NUMBER

General Provider Information

NPI Number	:	1174683833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C. BAKER D.C.

Provider Business Mailing Address
First Line	:	3611 CENTRAL AVE
Second Line	:	SUITE 300
City	:	COLUMBUS
State	:	IN
Zip	:	47203-6000
Country	:	US
Telephone Number	:	812-372-2537
Fax Number	:	812-372-2537

Provider Business Practice Location Address
First Line	:	3611 CENTRAL AVE
Second Line	:	SUITE 300
City	:	COLUMBUS
State	:	IN
Zip	:	47203-6000
Country	:	US
Telephone Number	:	812-372-2537
Fax Number	:	812-372-2537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	03/27/2025

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