Provider Demographics
NPI:1902979578
Name:BAIRD, WAYNE W (DC)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:W
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 1:363 PINEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1240
Mailing Address - Country:US
Mailing Address - Phone:408-432-8290
Mailing Address - Fax:408-577-1093
Practice Address - Street 1:363 PINEFIELD RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1240
Practice Address - Country:US
Practice Address - Phone:408-432-8290
Practice Address - Fax:408-577-1093
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor