Bauer, Judd P
Bauer, Judd P is an individual health care provider with primary practice located at 1111 N 102Nd Ct Ste 200 , Omaha NE 68114-2194. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bauer, Judd P can be contacted via phone (402) 502-2747.Contact Information
Primary practice address
1111 N 102Nd Ct Ste 200
Omaha NE 68114-2194
Phone: (402) 502-2747
Fax: (402) 502-2387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6052 | Nebraska |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 27849 | Nebraska |
Profile Details
| NPI number | 1982833554 |
|---|---|
| LBN Legal business name | Bauer, Judd P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2009 |
| Last updated | Apr 10th, 2019 - about 6 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 | 1982833554 | NPPES |
| Nebraska | Other | P01352298 | RR MEDICARE |
| Nebraska | MEDICAID | 1982833554 | RR MEDICARE |
| Nebraska | Other | 1982833554 | RR MEDICARE |
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