Bauer Physical Therapy Llc

LBN: Bauer Physical Therapy Llc
Bauer Physical Therapy Llc is an health care organization with primary practice located at 355 N Peters Ave , Fond Du Lac WI 54935-8258. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Bauer Physical Therapy Llc can be contacted via phone (920) 929-9712, or through Bauer, Shane D via phone (920) 929-9712.

Contact Information

Primary practice address
355 N Peters Ave Fond Du Lac WI 54935-8258
Phone: (920) 929-9712
Fax: (920) 929-9715
Website:
Map and Directions
Authorized official contact:
Name: Bauer, Shane D
Phone: (920) 929-9712

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 5173024 Wisconsin

Profile Details

NPI number 1437271012
LBN Legal business name Bauer Physical Therapy Llc
DBA Doing business as
Authorized official Bauer, Shane D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437271012 NPPES
Wisconsin MEDICAID 40340300

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