Bauman, Tyler John
Bauman, Tyler John is an individual health care provider with primary practice located at 1540 6Th St E , Saint Paul MN 55106-4850. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bauman, Tyler John can be contacted via phone (952) 449-1054.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1770057507 |
|---|---|
| LBN Legal business name | Bauman, Tyler John |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2019 |
| Last updated | Feb 17th, 2021 - about 4 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 | 1770057507 | NPPES |
| Other | 920798698 | MEDICA |
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