Bauer, John
Bauer, John is an individual health care provider with primary practice located at 150 S Mount Auburn Rd Ste 418, Cape Girardeau MO 63703-4911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bauer, John can be contacted via phone (573) 332-6025.Contact Information
Primary practice address
150 S Mount Auburn Rd Ste 418
Cape Girardeau MO 63703-4911
Phone: (573) 332-6025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 112733 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 112733 | Missouri |
Profile Details
| NPI number | 1164474763 |
|---|---|
| LBN Legal business name | Bauer, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jan 10th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164474763 | NPPES |
| Missouri | MEDICAID | 203827522 | |
| Missouri | MEDICAID | 160304001 | |
| Missouri | Other | 146167 | |
| Missouri | MEDICAID | 7100013060 | |
| Missouri | Other | P00233446 | |
| Missouri | Other | 705383 |
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