Bauer, Kimberly Ann
Bauer, Kimberly Ann is an individual health care provider with primary practice located at 1124 Essington Rd , Joliet IL 60435-8423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bauer, Kimberly Ann can be contacted via phone (815) 744-8554.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036130506 | Illinois |
Profile Details
| NPI number | 1295946473 |
|---|---|
| LBN Legal business name | Bauer, Kimberly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2007 |
| Last updated | May 12th, 2017 - about 7 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 | 1295946473 | NPPES |
| Illinois | Other | F400368523 | MEDICARE INDIVIDUAL |
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