Provider Demographics
NPI:1588895239
Name:BAKER, ADAM C (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:C
Last Name:BAKER
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 1:515 E MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-9441
Mailing Address - Country:US
Mailing Address - Phone:937-639-2060
Mailing Address - Fax:937-639-2061
Practice Address - Street 1:515 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-9441
Practice Address - Country:US
Practice Address - Phone:937-639-2060
Practice Address - Fax:937-639-2061
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor