Bauman, Loren D.

Bauman, Loren D. is an individual health care provider with primary practice located at 1700 Coffee Rd , Modesto CA 95355-2803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bauman, Loren D. can be contacted via phone (209) 526-4500.

Contact Information

Primary practice address
1700 Coffee Rd Modesto CA 95355-2803
Phone: (209) 526-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13310 California

Profile Details

NPI number 1326155052
LBN Legal business name Bauman, Loren D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 21st, 2011 - 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 1326155052 NPPES
California MEDICAID PA13310

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