1790903193 NPI number — DR F STEVEN BARON PC

Table of content: (NPI 1790903193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790903193 NPI number — DR F STEVEN BARON PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR F STEVEN BARON PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BAY STATE CHIROPRACTIC CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790903193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 FREDERICK RD STE 15
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CATONSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21228-4607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-744-8800
Provider Business Mailing Address Fax Number:
410-744-8802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
405 FREDERICK RD STE 15
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATONSVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21228-4607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-744-8800
Provider Business Practice Location Address Fax Number:
410-744-8802
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARON
Authorized Official First Name:
FREDRIC
Authorized Official Middle Name:
STEVEN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-744-8800

Provider Taxonomy Codes

  • Taxonomy code: 111NX0800X , with the licence number:  01288 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 600822100 . This is a "ACS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2127153 . This is a "MAMSI MDIPA OPC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: J7940001 . This is a "BCHOICEBPREFERREDFBC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: P00213679 . This is a "PALMETTO GBA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 860ABA . This is a "BX MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 002410885001 . This is a "UHC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 008706800 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1548283070 . This is a "PERSONAL NPI NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 665525 . This is a "ACN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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