Bauman, Susan F
Bauman, Susan F is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic At Main Street, Mankato MN 56001-5066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bauman, Susan F can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1230 E Main St Mankato Clinic At Main Street
Mankato MN 56001-5066
Phone: (507) 625-1811
Fax: (507) 625-1878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R0743451 | Minnesota |
Profile Details
| NPI number | 1114906120 |
|---|---|
| LBN Legal business name | Bauman, Susan F |
| Credentials | RN NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114906120 | NPPES |
| Minnesota | MEDICAID | 599214100 | |
| Minnesota | Other | NA2951023871 | |
| Minnesota | Other | 03A64BA | |
| Minnesota | Other | 500004161 | |
| Minnesota | Other | 41084933956001C158 | |
| Minnesota | MEDICAID | 938480 | |
| Minnesota | Other | 0401492 | |
| Minnesota | Other | 124709 | |
| Minnesota | Other | HP40993 |
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