Baird Spine And Sport LLC
Chiropractor in Wentzville, MO. Organization (NPI-2).
NPI number1922639376
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1922639376
- Entity type
- Organization (NPI-2)
- Legal business name
- Baird Spine And Sport LLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
905 Main Plaza DrWentzville, MO 63385-1168
Phone 636-856-1260 · Fax 636-856-1245
Mailing address
539 Copper Meadows LnO Fallon, MO 63368-3996
Phone 636-293-7788
Authorized official
Joshua David Baird
Owner
6362937788
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