Bauer, Jennifer S

Bauer, Jennifer S is an individual health care provider with primary practice located at 621 Memorial Dr Ste 302 , South Bend IN 46601-1073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bauer, Jennifer S can be contacted via phone (574) 367-3800.

Contact Information

Primary practice address
621 Memorial Dr Ste 302 South Bend IN 46601-1073
Phone: (574) 367-3800
Fax: (574) 367-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001701A Indiana

Profile Details

NPI number 1346231412
LBN Legal business name Bauer, Jennifer S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 30th, 2021 - about 4 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 1346231412 NPPES
Indiana MEDICAID 300014674

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