Bauer, Justin Lawrence

Bauer, Justin Lawrence is an individual health care provider with primary practice located at 7595 Anagram Dr , Eden Prairie MN 55344-7399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bauer, Justin Lawrence can be contacted via phone (612) 573-2200.

Contact Information

Primary practice address
7595 Anagram Dr Eden Prairie MN 55344-7399
Fax: (612) 573-2274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 76610 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A157028 California

Profile Details

NPI number 1538691373
LBN Legal business name Bauer, Justin Lawrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2017
Last updated May 1st, 2024 - about 7 months 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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