Bauer, Jeffrey Alan

Bauer, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 206 Meadow Mountain Dr , Waco TX 76712-8162. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bauer, Jeffrey Alan can be contacted via phone (254) 666-6292.

Contact Information

Primary practice address
206 Meadow Mountain Dr Waco TX 76712-8162
Phone: (254) 666-6292
Fax: (254) 666-2190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15012 Texas

Profile Details

NPI number 1578686689
LBN Legal business name Bauer, Jeffrey Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1578686689 NPPES
Texas MEDICAID 158753701

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