Baus, Charles Jeffrey
Baus, Charles Jeffrey is an individual health care provider with primary practice located at 72608 El Paseo Suite 6, Palm Desert CA 92260-3373. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baus, Charles Jeffrey can be contacted via phone (760) 776-9767.Contact Information
Primary practice address
72608 El Paseo Suite 6
Palm Desert CA 92260-3373
Phone: (760) 776-9767
Fax: (760) 776-9333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT12183 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12183T | California |
Profile Details
| NPI number | 1215911565 |
|---|---|
| LBN Legal business name | Baus, Charles Jeffrey |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Aug 25th, 2014 - about 10 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 | 1215911565 | NPPES |
| California | Other | GSD004460 | MEDICAID GROUP NUMBER |
| California | Other | ZZZ24908Z | MEDICAID GROUP NUMBER |
| California | MEDICAID | SD0121830 | MEDICAID GROUP NUMBER |
| California | Other | 0313520001 | MEDICAID GROUP NUMBER |
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