Bauer, Matthew James
Bauer, Matthew James is an individual health care provider with primary practice located at 2500 Overlook Ter , Madison WI 53705-2254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bauer, Matthew James can be contacted via phone (608) 256-1901.Contact Information
Primary practice address
2500 Overlook Ter
Madison WI 53705-2254
Phone: (608) 256-1901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R-11169 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-47448 | Iowa |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD-47448 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 74403-20 | Wisconsin |
Profile Details
| NPI number | 1164929493 |
|---|---|
| LBN Legal business name | Bauer, Matthew James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2018 |
| Last updated | Apr 22nd, 2024 - about last year |
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 | 1164929493 | NPPES |
| Iowa | Other | R-11169 | IOWA RESIDENT PHYSICIAN LICENSE |
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