Bauer, Frederick Scott
Bauer, Frederick Scott is an individual health care provider with primary practice located at 611 Alcorn Dr Suite 220, Corinth MS 38834-9321. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bauer, Frederick Scott can be contacted via phone (662) 287-8299.Contact Information
Primary practice address
611 Alcorn Dr Suite 220
Corinth MS 38834-9321
Phone: (662) 287-8299
Fax: (662) 286-8789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | MS2330-87 | Mississippi |
Profile Details
| NPI number | 1548275100 |
|---|---|
| LBN Legal business name | Bauer, Frederick Scott |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1548275100 | NPPES |
| Mississippi | MEDICAID | 00660372 |
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