Bader, Gerald

Bader, Gerald is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bader, Gerald can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Fax: (360) 604-1771
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00011805 Washington

Profile Details

NPI number 1881649861
LBN Legal business name Bader, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 29th, 2011 - about 14 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 1881649861 NPPES
Washington MEDICAID 8203309

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