Provider Demographics
NPI:1154538072
Name:BAIRD, GUY T (DC)
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:T
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 W WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-4545
Mailing Address - Country:US
Mailing Address - Phone:580-255-7224
Mailing Address - Fax:580-255-7891
Practice Address - Street 1:1109 W WALNUT AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4545
Practice Address - Country:US
Practice Address - Phone:580-255-7224
Practice Address - Fax:580-255-7891
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731261297001OtherBLUE CROSS