Baker, Bruce Boardman
Baker, Bruce Boardman is an sole proprietor health care provider with primary practice located at 3388 I 75 Business Spur , Sault Sainte Marie MI 49783-3605. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baker, Bruce Boardman can be contacted via phone (906) 635-0196.Contact Information
Primary practice address
3388 I 75 Business Spur
Sault Sainte Marie MI 49783-3605
Phone: (906) 635-0196
Fax: (906) 635-8295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | BB005180 | Michigan |
Profile Details
| NPI number | 1518971647 |
|---|---|
| LBN Legal business name | Baker, Bruce Boardman |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518971647 | NPPES |
| Michigan | MEDICAID | 1722510 |
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