Bauer, Susan J

Bauer, Susan J is an individual health care provider with primary practice located at 1021 Eisenhower Ave Great Bend Children'S Clinic, Great Bend KS 67530-3213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bauer, Susan J can be contacted via phone (620) 792-5848.

Contact Information

Primary practice address
1021 Eisenhower Ave Great Bend Children'S Clinic Great Bend KS 67530-3213
Phone: (620) 792-5848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 44343 Kansas

Profile Details

NPI number 1861457194
LBN Legal business name Bauer, Susan J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 14th, 2009 - about 16 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 1861457194 NPPES
Kansas Other 013253 BLUE CROSS INDIV PROVIDER
Kansas MEDICAID 200269380A BLUE CROSS INDIV PROVIDER

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