MEDICARE: JEFFREY LEONARD BAIER DC

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	4740	KS

General Provider Information

NPI Number	:	1336120179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY LEONARD BAIER DC

Provider Business Mailing Address
First Line	:	1109 E KANSAS PLZ
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5870
Country	:	US
Telephone Number	:	620-275-8080
Fax Number	:	620-275-8081

Provider Business Practice Location Address
First Line	:	1109 E KANSAS PLZ
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5870
Country	:	US
Telephone Number	:	620-275-8080
Fax Number	:	620-275-8081

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	11/27/2012

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Directions to “ JEFFREY LEONARD BAIER DC” Practice Location

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