Organization Name: | BRYAN A. BAETENS, D.C., P.C. |
NPI Number: | 1477607679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN A BAETENS, D.C., P.C. (PRESIDENT) |
Mailing Address: | 26000 Harper Avenue Suite A Saint Clair Shores |
State: | MI US |
Postal Code: | 48081 |
Phone Number: | 5867747920 |
Fax Number: | 5867748336 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301004667 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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. |