Individual
MICHAEL WILLIAMS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4452 DIXIE HWY, LOUISVILLE, KY 40216-2866
(502) 448-5241
(502) 448-1555
Mailing address
4452 DIXIE HWY, LOUISVILLE, KY 40216-2866
(502) 448-5241
(502) 448-1555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141203
PASSPORT
KY
05
—
85001410
—
KY
Enumeration date
12/13/2005
Last updated
10/07/2011
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