Bauer, Audrey G

Bauer, Audrey G is an individual health care provider with primary practice located at 4012 N 9Th Ave , Pensacola FL 32503-2824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bauer, Audrey G can be contacted via phone (850) 444-4777.

Contact Information

Primary practice address
4012 N 9Th Ave Pensacola FL 32503-2824
Phone: (850) 444-4777
Fax: (850) 434-3387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101235128 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 53119 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X 145718 Florida

Profile Details

NPI number 1265400717
LBN Legal business name Bauer, Audrey G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 5th, 2021 - about 3 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 1265400717 NPPES
Colorado MEDICAID 19730381
Colorado Other 024177

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