Bauder, Rebecca Jane

Bauder, Rebecca Jane is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bauder, Rebecca Jane can be contacted via phone (606) 324-1141.

Contact Information

Primary practice address
201 22Nd St Ashland KY 41101
Phone: (606) 324-1141
Fax: (606) 325-8606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 104072 Kentucky

Profile Details

NPI number 1982617304
LBN Legal business name Bauder, Rebecca Jane
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 10th, 2018 - 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 1982617304 NPPES
Other 11726243 CAQH
Other 000000281109 CAQH
Other 2680368 CAQH
MEDICAID 7100280990 CAQH

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