BAER CHIROPRACTIC & WELLNESS INC. NPI 1417114547

NPI Information

NPI: 1417114547
Provider Name: BAER CHIROPRACTIC & WELLNESS INC.
Classification: Chiropractor - 111NP0017X
Entity Type: Organization

Specialization: Pediatric Chiropractor

Address:
2585 N MULFORD RD
ROCKFORD, IL
ZIP 61114
Phone: (815) 636-9450
Get Directions

BAER CHIROPRACTIC & WELLNESS INC. is a pediatric chiropractor chiropractor in Rockford, IL. The provider is the Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. BAER CHIROPRACTIC & WELLNESS INC. NPI is 1417114547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2585 N MULFORD RD
ROCKFORD, IL
ZIP 61114-643
Phone: (815) 636-9450
Fax: (815) 636-9443

The provider's authorized official is Brenda Michelle Baer .
The authorized official title is President/chiropractor and has the following contact phone number (815) 636-9450.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 11/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NP0017X	Chiropractor	Pediatric Chiropractor	038008941	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========12	OTHER	WISCONSIN	MEDICAID WISCONSIN
2	038008941	MEDICAID	ILLINOIS
3	U82027	MEDICARE UPIN	ILLINOIS
4	411508205	OTHER	ILLINOIS	HSM/ECOH
5	10132030	OTHER	ILLINOIS	BCBS
6	203206	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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