Bauer, Jennifer Diane

Bauer, Jennifer Diane is an individual health care provider with primary practice located at 10800 Midlothian Tpke Ste 309 , North Chesterfield VA 23235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bauer, Jennifer Diane can be contacted via phone (804) 549-4040.

Contact Information

Primary practice address
10800 Midlothian Tpke Ste 309 North Chesterfield VA 23235
Phone: (804) 549-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 110002369 Virginia

Profile Details

NPI number 1790875698
LBN Legal business name Bauer, Jennifer Diane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 12th, 2018 - about 7 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 1790875698 NPPES
Virginia Other P00365127 RAILROAD MEDICARE

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