MEDICARE: STEVEN BAILEY 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	104404	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55869	OTHER	KS	BCBS

General Provider Information

NPI Number	:	1275514200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BAILEY D.C.

Provider Business Mailing Address
First Line	:	311 W CENTRAL AVE
Second Line	:
City	:	ANDOVER
State	:	KS
Zip	:	67002-9615
Country	:	US
Telephone Number	:	316-733-1440
Fax Number	:	316-733-8737

Provider Business Practice Location Address
First Line	:	311 W CENTRAL AVE
Second Line	:
City	:	ANDOVER
State	:	KS
Zip	:	67002-9615
Country	:	US
Telephone Number	:	316-733-1440
Fax Number	:	316-733-8737

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/16/2011

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Directions to “ STEVEN BAILEY D.C.” Practice Location

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