Bauer, John Mark

Bauer, John Mark is an individual health care provider with primary practice located at 304 W Bay Dr Nw Suite 301, Olympia WA 98502-4958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bauer, John Mark can be contacted via phone (360) 413-8760.

Contact Information

Primary practice address
304 W Bay Dr Nw Suite 301 Olympia WA 98502-4958
Phone: (360) 413-8760
Fax: (360) 413-8839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00017301 Washington

Profile Details

NPI number 1851391015
LBN Legal business name Bauer, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 22nd, 2013 - about 13 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 1851391015 NPPES
Washington MEDICAID 8214603
Washington Other GAB20353

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