Bauer, Luann
Bauer, Luann is an sole proprietor health care provider with primary practice located at 63 N Williams St , Crystal Lake IL 60014-4443. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Bauer, Luann can be contacted via phone (815) 356-9900.Contact Information
Primary practice address
63 N Williams St
Crystal Lake IL 60014-4443
Phone: (815) 356-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Point of Service | 305S00000X | 20-1975060 | Illinois |
Profile Details
| NPI number | 1184192643 |
|---|---|
| LBN Legal business name | Bauer, Luann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2018 |
| Last updated | Nov 2nd, 2018 - 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 | 1184192643 | NPPES |
| Illinois | Other | 20-1975060 | TAX ID # |
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