Bauer, Terese A

Bauer, Terese A is an individual health care provider with primary practice located at 10820 W 64Th St Ste 202 Gianna Family Care, Shawnee KS 66203-3571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bauer, Terese A can be contacted via phone (913) 890-2555.

Contact Information

Primary practice address
10820 W 64Th St Ste 202 Gianna Family Care Shawnee KS 66203-3571
Phone: (913) 890-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47982-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0436612 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2013026055 Missouri

Profile Details

NPI number 1740338359
LBN Legal business name Bauer, Terese A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 3rd, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740338359 NPPES
Wisconsin MEDICAID 34666700

Popular Providers