Bader, Jennifer Caserta

Bader, Jennifer Caserta is an individual health care provider with primary practice located at 1510 W 34Th St Ste 100, Austin TX 78703-1400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bader, Jennifer Caserta can be contacted via phone (512) 533-9900.

Contact Information

Primary practice address
1510 W 34Th St Ste 100 Austin TX 78703-1400
Phone: (512) 533-9900
Fax: (512) 533-9901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001863 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA05397 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4948 Arizona

Profile Details

NPI number 1306996780
LBN Legal business name Bader, Jennifer Caserta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 27th, 2017 - about 7 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 1306996780 NPPES
Texas MEDICAID 346354901

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