Bauer, Susan

Bauer, Susan is an sole proprietor health care provider with primary practice located at 225 Sw Stafford Ct , Lake City FL 32024-1144. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bauer, Susan can be contacted via phone (386) 752-9660.

Contact Information

Primary practice address
225 Sw Stafford Ct Lake City FL 32024-1144
Fax: (386) 752-9660
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA6822 Florida

Profile Details

NPI number 1588796619
LBN Legal business name Bauer, Susan
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 9th, 2007 - about 17 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 1588796619 NPPES
Florida Other S2727 PROVIDER NUMBER

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