Doctor Name: | DR. MATTHEW RAY BAKER |
NPI Number: | 1346398088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 08002218A |
Business Practice Address: | 1010 S Main St Maryville, MO - 644682636 |
Business Phone Number: | 6605824357 |
Business Fax Number: | 8662397931 |
Mailing Address: | 36553 Katydid Rd, BARNARD |
State: | MO |
Postal Code: | 644237204 |
Phone Number: | 8162604315 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 06/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002218A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |