Individual
DR. THOMAS MCLEOD BAADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
41 SUMMERS WAY, SUITE 103, ROANOKE, VA 24019-8291
(540) 966-1423
(540) 966-4125
Mailing address
PO BOX 25, BLUE RIDGE, VA 24064-0025
(540) 966-1423
(540) 966-4125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001231
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170913
SOUTHERN HEALTH
VA
01
—
197924
ANTHEM
VA
01
—
281817
ANTHEM BLUE CROSS
VA
01
—
350039206
RAILROAD MEDICARE
VA
01
—
5115029
AETNA
VA
Enumeration date
07/19/2006
Last updated
04/09/2015
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