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NPI Code Detail

MEDICARE: DR. JOHN KEVIN BAER DC

MEDICARE: DR. JOHN KEVIN BAER 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
1111N00000XChiropractor1791MA

General Provider Information

NPI Number : 1760483374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN KEVIN BAER DC
Provider Business Mailing Address
First Line : 8 WINTHROP AVE
Second Line :
City : BEDFORD
State : MA
Zip : 01730-2223
Country : US
Telephone Number : 781-275-7833
Fax Number :
Provider Business Practice Location Address
First Line : 119 GREAT RD
Second Line :
City : BEDFORD
State : MA
Zip : 01730-2706
Country : US
Telephone Number : 617-212-0073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 07/08/2007

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