Bauder, Marc A
Bauder, Marc A is an individual health care provider with primary practice located at 1000 Willow Creek Rd Suite G, Prescott AZ 86301-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bauder, Marc A can be contacted via phone (928) 458-7343.Contact Information
Primary practice address
1000 Willow Creek Rd Suite G
Prescott AZ 86301-1645
Phone: (928) 458-7343
Fax: (928) 257-4422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 15235 | Arizona |
Profile Details
| NPI number | 1457314601 |
|---|---|
| LBN Legal business name | Bauder, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457314601 | NPPES |
| Arizona | MEDICAID | 249872 |
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