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Contact Information

JAVIER BACA, DO
965 WILSON RD # A327
EAST LANSING, MI48824-6410
 Phone: 517-355-1855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JAVIER BACA · (Male)

NPI Number 1366291510
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/17/2024
Last updated 05/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5151017032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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