Individual
DR. DONALD JERRY BAUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC13277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205166675
GROUP NPI
CA
01
—
CV133A
GROUP PTAN
CA
01
—
CV134Z
INDIVIDUAL PTAN
CA
01
—
DC13277
CHIROPRACTIC LICENSE
CA
Enumeration date
08/19/2006
Last updated
12/02/2011
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