Individual
DR. MATTHEW JAMES BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6905 E 96TH ST, SUITE 600, INDIANAPOLIS, IN 46250-4448
(317) 577-1990
(317) 577-1993
Mailing address
6905 E 96TH ST STE 900, INDIANAPOLIS, IN 46250-4455
(317) 577-1990
(317) 577-1993
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08002002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202960577
TAX ID
IN
Enumeration date
04/10/2007
Last updated
08/04/2025
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