Bader, Cass Jaye
Bader, Cass Jaye is an sole proprietor health care provider with primary practice located at 20700 Ecorse Road , Taylor MI 48180-1962. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Radiology. Chiropractic Providers / Chiropractor is his primary health care specialty. Bader, Cass Jaye can be contacted via phone (313) 294-6000.Contact Information
Primary practice address
20700 Ecorse Road
Taylor MI 48180-1962
Phone: (313) 294-6000
Fax: (313) 383-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CB004392 | Michigan |
| Chiropractic Providers / Chiropractor | 111N00000X | 2301004392 | Michigan |
| Chiropractic Providers / Radiology | 111NR0200X | 2301004392 | Michigan |
Profile Details
| NPI number | 1619057445 |
|---|---|
| LBN Legal business name | Bader, Cass Jaye |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jan 19th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619057445 | NPPES |
| Michigan | MEDICAID | 3481677 | |
| Michigan | Other | 6U0097 | |
| Michigan | Other | 950Q250430 | |
| Michigan | Other | 350043386 |
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