Bader, Donald L

Bader, Donald L is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Ft Defiance AZ 86504-0589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bader, Donald L can be contacted via phone (928) 729-8600.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Ft Defiance AZ 86504-0589
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36859 Colorado

Profile Details

NPI number 1316963366
LBN Legal business name Bader, Donald L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 27th, 2014 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316963366 NPPES
Other 930060672 RAILROAD
Other P00448188 RAILROAD
MEDICAID 000S2505 RAILROAD
MEDICAID 01368596 RAILROAD

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