Bauernfeind, Robert

Bauernfeind, Robert is an individual health care provider with primary practice located at 5405 North Knoxville Avenue , Peoria IL 61614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bauernfeind, Robert can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
5405 North Knoxville Avenue Peoria IL 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036049282 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036-049282 Illinois

Profile Details

NPI number 1497785505
LBN Legal business name Bauernfeind, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Feb 2nd, 2012 - about 13 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 1497785505 NPPES
Illinois MEDICAID 036-049282
Illinois MEDICAID 036049282

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