Provider Demographics
NPI:1548283070
Name:BARON, FREDRIC STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:FREDRIC
Middle Name:STEVEN
Last Name:BARON
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 1:405 FREDERICK RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4645
Mailing Address - Country:US
Mailing Address - Phone:410-744-8800
Mailing Address - Fax:410-744-8802
Practice Address - Street 1:405 FREDERICK RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4645
Practice Address - Country:US
Practice Address - Phone:410-744-8800
Practice Address - Fax:410-744-8802
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01288111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD665525OtherACN
MD2127153OtherMAMSI/MDIPA/OPC
MDJ7940001OtherB.CHOICE/B. PREF/FBC
MD002410885-001OtherUNITED HEALTH CARE
MD860ABAOtherBLUECROSS/BLUECROSS NASCO
MD2127153OtherMAMSI/MDIPA/OPC
MDP00213679Medicare ID - Type UnspecifiedRAILROAD MCR(PALMETTOGBA)
MD002410885-001OtherUNITED HEALTH CARE