Individual
DR. C ROBERT BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5050 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4521
(716) 634-2802
(716) 634-2357
Mailing address
5050 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4521
(716) 634-2802
(716) 634-2357
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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