MEDICARE: BAER CHIROPRACTIC INC

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	4711	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000354203	OTHER	KY	ANTHEM

General Provider Information

NPI Number	:	1649276361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAER CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	2240 TAYLORSVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2146
Country	:	US
Telephone Number	:	502-479-9885
Fax Number	:	502-479-9875

Provider Business Practice Location Address
First Line	:	2240 TAYLORSVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-2146
Country	:	US
Telephone Number	:	502-479-9885
Fax Number	:	502-479-9875

Authorized Official
Title or Position	:	PRESIDENT/DOCTOR CHIROPRACTOR
Name	:	DR. ANDREW J BAER
Credential	:	DC
Telephone Number	:	502-479-9885

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	10/23/2007

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Directions to “BAER CHIROPRACTIC INC ” Practice Location

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