Bauer, Evan G

Bauer, Evan G is an sole proprietor health care provider with primary practice located at 3201 W Peoria Ave Suite C-600, Phoenix AZ 85029-4608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bauer, Evan G can be contacted via phone (602) 866-3344.

Contact Information

Primary practice address
3201 W Peoria Ave Suite C-600 Phoenix AZ 85029-4608
Phone: (602) 866-3344
Fax: (602) 375-2088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13703 Arizona

Profile Details

NPI number 1700868833
LBN Legal business name Bauer, Evan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 18 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 1700868833 NPPES
Other 121777 HEALTHNET
Other AZ0051960 HEALTHNET
Other 1407058324 HEALTHNET

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