Bauer, Jody M

Bauer, Jody M is an individual health care provider with primary practice located at 727 Kirkwood Mall , Bismarck ND 58504-5753. 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, Jody M can be contacted via phone (701) 712-4500.

Contact Information

Primary practice address
727 Kirkwood Mall Bismarck ND 58504-5753
Phone: (701) 712-4500
Fax: (701) 712-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0600 North Dakota

Profile Details

NPI number 1588030613
LBN Legal business name Bauer, Jody M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated May 16th, 2023 - about 2 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 1588030613 NPPES
North Dakota MEDICAID 1466407

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