Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 01288 | MD |
NPI | 1548283070 |
---|---|
Provider Name | Dr. Fredric Steven Baron |
First Address | Catonsville, MD 21228-4645 |
Second Address | Catonsville, MD 21228-4645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002410885-001 | UNITED HEALTH CARE (01) | MD |
2127153 | MAMSI/MDIPA/OPC (01) | MD |
665525 | ACN (01) | MD |
860ABA | BLUECROSS/BLUECROSS NASCO (01) | MD |
J7940001 | B.CHOICE/B. PREF/FBC (01) | MD |
U59212 | (02) | MD |