Bauman, Ted Albert

Bauman, Ted Albert is an individual health care provider with primary practice located at 403 Fairview St , Clinton NC 28328-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bauman, Ted Albert can be contacted via phone (910) 592-6011.

Contact Information

Primary practice address
403 Fairview St Clinton NC 28328-2399
Phone: (910) 592-6011
Fax: (910) 592-0819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001-00305 North Carolina

Profile Details

NPI number 1205860970
LBN Legal business name Bauman, Ted Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 25th, 2022 - about 3 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 1205860970 NPPES
North Carolina Other A8688 MEDCOST
North Carolina Other 560955090O MEDCOST
North Carolina Other 7371344 MEDCOST
North Carolina MEDICAID 89129F1 MEDCOST
North Carolina Other 0101118 MEDCOST
North Carolina Other 129F1 MEDCOST
North Carolina MEDICAID 00342167 MEDCOST

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