Bauman, Chris G.W.

Bauman, Chris G.W. is an individual health care provider with primary practice located at 2955 Xenium Ln N Suite 40, Plymouth MN 55441-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bauman, Chris G.W. can be contacted via phone (763) 398-2203.

Contact Information

Primary practice address
2955 Xenium Ln N Suite 40 Plymouth MN 55441-2666
Fax: (763) 398-6533
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2005037044 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2002-0144 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 60365 Minnesota

Profile Details

NPI number 1932119542
LBN Legal business name Bauman, Chris G.W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932119542 NPPES
Missouri MEDICAID 207574906
Missouri MEDICAID 85359033

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