Provider Demographics
NPI:1124662812
Name:BAIRD, MELANIE (DC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2100 HARPER ST
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-8055
Mailing Address - Country:US
Mailing Address - Phone:405-281-6304
Mailing Address - Fax:
Practice Address - Street 1:2100 HARPER ST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-8055
Practice Address - Country:US
Practice Address - Phone:405-281-6304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06007111N00000X
OK4363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4363OtherOKLAHOMA BOARD OF CHIROPRACTIC