Organization
MATTHEW C BAUER DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C BAUER DC (OWNER)
(316) 524-2224
Entity
Organization
Contact information
Practice address
207 W GRAND AVE, HAYSVILLE, KS 67060-1228
(316) 641-7503
Mailing address
207 W GRAND AVE, HAYSVILLE, KS 67060-1228
(316) 641-7503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04217
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014147
MEDICARE IDENTIFICATION NUMBER
KS
Enumeration date
10/18/2011
Last updated
10/18/2011
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