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NPI Code Detail

MEDICARE: DR. WALTER T BAUMGARTEL D.C.

MEDICARE:  DR. WALTER T BAUMGARTEL  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
1111N00000XChiropractor2953OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00099438OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000222039OTHEROHBLUECROSS/BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255495594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER T BAUMGARTEL D.C.
Provider Business Mailing Address
First Line : PO BOX 8
Second Line :
City : ALBANY
State : OH
Zip : 45710-0008
Country : US
Telephone Number : 740-698-3181
Fax Number : 740-698-8314
Provider Business Practice Location Address
First Line : 5550 ENNIS RD
Second Line :
City : ALBANY
State : OH
Zip : 45710-9259
Country : US
Telephone Number : 740-698-3181
Fax Number : 740-888-1849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 12/18/2013

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Directions to “ DR. WALTER T BAUMGARTEL D.C.” Practice Location

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