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Individual
DR. C ROBERT BADER
Active
Individual
DR. C ROBERT BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0042061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000200653001
BC BS
NY
01
—
0002033860L
UNIVERA
—
01
—
0005862331
AETNA
—
05
—
02663505
—
NY
01
—
C042061
WORKERS COMPENSATION
NY
Enumeration date
05/28/2006
Last updated
11/30/2011
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