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
Phone: (616) 341-1713
Fax: (616) 341-1714
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891103818 | NPPES |
| Michigan | Other | 900E476020 | BLUE CROSS |
| Michigan | MEDICAID | 1871510859 | BLUE CROSS |
| Michigan | Other | 0784610001 | BLUE CROSS |
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