Doctor Name: | DR. BRUCE ALAN BAVER |
NPI Number: | 1366577694 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 000583 |
Business Practice Address: | 1 Woodbridge Ctr Suite 245 Woodbridge, NJ - 070951150 |
Business Phone Number: | 7328558522 |
Business Fax Number: | 7326347920 |
Mailing Address: | 1855 Corporal Kennedy St, Apt. 2k BAYSIDE |
State: | NY |
Postal Code: | 113601455 |
Phone Number: | 7186317937 |
Fax Number: | 7326347920 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 000583 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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. |