Doctor Name: | DR. KEVIN G BACHE |
NPI Number: | 1992740013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | S01794 |
Business Practice Address: | 46 Westminster Rd Reisterstown, MD - 211361025 |
Business Phone Number: | 4108338877 |
Business Fax Number: | 4108333810 |
Mailing Address: | 1674 Lake Ridge Ct, FINKSBURG |
State: | MD |
Postal Code: | 210482631 |
Phone Number: | 4104569158 |
Fax Number: | 4108333810 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 04/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | S01794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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. |