Individual
DR. MICHAEL ANGELO BAXTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2621 W MAIN STREET, WHITNEY POINT, NY 13862
(607) 692-3961
(607) 692-2514
Mailing address
PO BOX 710, WHITNEY POINT, NY 13862-0710
(607) 692-3961
(607) 692-2514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010492-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000144094
EXCELLUS BC/BS
NY
01
—
1050112
ASH
NY
01
—
3047630
CDPHP
NY
01
—
652562
ACN
NY
01
—
C10492-9W
WORK COMP
NY
Enumeration date
08/30/2005
Last updated
07/08/2007
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