Bauer, Tracy K

Bauer, Tracy K is an individual health care provider with primary practice located at 295 Essjay Rd , Williamsville NY 14221-8216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bauer, Tracy K can be contacted via phone (716) 630-1000.

Contact Information

Primary practice address
295 Essjay Rd Williamsville NY 14221-8216
Phone: (716) 630-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0057091 New York

Profile Details

NPI number 1629036207
LBN Legal business name Bauer, Tracy K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 4th, 2021 - about 4 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 1629036207 NPPES
New York Other 0400501003374 FIDELIS
New York Other 11563494 FIDELIS
New York Other 177013BJ FIDELIS
New York Other 000570180003 FIDELIS
New York Other P001890577 FIDELIS
New York Other 9513165 FIDELIS

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