Bauman, Dale V

Bauman, Dale V is an individual health care provider with primary practice located at 2300 Hospital Dr #310, Bossier City LA 71111-2394. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bauman, Dale V can be contacted via phone (318) 752-1502.

Contact Information

Primary practice address
2300 Hospital Dr #310 Bossier City LA 71111-2394
Phone: (318) 752-1502
Fax: (318) 752-1504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04029R Louisiana

Profile Details

NPI number 1609844034
LBN Legal business name Bauman, Dale V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1609844034 NPPES
Texas Other E5348 TX STATE MEDICAL LIC
Texas Other 04029R TX STATE MEDICAL LIC
Texas MEDICAID 1303976 TX STATE MEDICAL LIC

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