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NPI Code Detail

MEDICARE: DR. PAUL D. BAKER D.C.

MEDICARE: DR. PAUL D. 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
1111N00000XChiropractor1480AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2350047504OTHERARMEDICARE RAILROAD #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15U075OTHERARBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1568508620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL D. BAKER D.C.
Provider Business Mailing Address
First Line : 4059 JEFFERSON AVE
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-1509
Country : US
Telephone Number : 870-774-3819
Fax Number : 870-772-4531
Provider Business Practice Location Address
First Line : 4059 JEFFERSON AVE
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-1509
Country : US
Telephone Number : 870-774-3819
Fax Number : 870-772-4531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 06/17/2025

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