Bauer, Shelly A

Bauer, Shelly A is an individual health care provider with primary practice located at 3707 Doty Rd Ste G , Woodstock IL 60098. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Licensed Practical Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bauer, Shelly A can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
3707 Doty Rd Ste G Woodstock IL 60098
Phone: (815) 338-6600
Fax: (815) 206-2822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209006891 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006891 Illinois
Nursing Service Providers / Licensed Practical Nurse 164W00000X 209006891 Illinois

Profile Details

NPI number 1225202492
LBN Legal business name Bauer, Shelly A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Oct 19th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225202492 NPPES
Illinois Other 209006891 STATE LICENSE

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