Bauer, Jacob Howard

Bauer, Jacob Howard is an sole proprietor health care provider with primary practice located at 304 W Bay Dr Nw Ste 301, Olympia WA 98502-4958. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Bauer, Jacob Howard can be contacted via phone (360) 413-8760.

Contact Information

Primary practice address
304 W Bay Dr Nw Ste 301 Olympia WA 98502-4958
Phone: (360) 413-8760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD12612 Rhode Island
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD12612 Rhode Island
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD 60075013 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 60075013 Washington

Profile Details

NPI number 1407029762
LBN Legal business name Bauer, Jacob Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Oct 22nd, 2013 - about 11 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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