Bauer, Adeline

Bauer, Adeline is an individual health care provider with primary practice located at 4130 Breton Rd Se Ste A , Kentwood MI 49512-3808. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Bauer, Adeline can be contacted via phone (616) 341-1713.

Contact Information

Primary practice address
4130 Breton Rd Se Ste A Kentwood MI 49512-3808
Fax: (616) 341-1714
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004841 Michigan
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901004841 Michigan

Profile Details

NPI number 1891103818
LBN Legal business name Bauer, Adeline
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Dec 1st, 2022 - about 2 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 1891103818 NPPES
Michigan Other 900E476020 BLUE CROSS
Michigan MEDICAID 1871510859 BLUE CROSS
Michigan Other 0784610001 BLUE CROSS

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