Bauer, Nicholas

Bauer, Nicholas is an individual health care provider with primary practice located at 554 Keily Street Centralized Credential And Privileging Directorate, Jacksonville FL 32212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bauer, Nicholas can be contacted via phone (757) 953-7550.

Contact Information

Primary practice address
554 Keily Street Centralized Credential And Privileging Directorate Jacksonville FL 32212
Phone: (757) 953-7550
Fax: (757) 953-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101262940 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1467818039
LBN Legal business name Bauer, Nicholas
Credentials MD, MHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2016
Last updated Mar 17th, 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.

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