Bausch, Daniel Edward
Bausch, Daniel Edward is an sole proprietor health care provider with primary practice located at 289 Bridge St , Springfield MA 01103-1409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bausch, Daniel Edward can be contacted via phone (413) 734-8366.Contact Information
Primary practice address
289 Bridge St
Springfield MA 01103-1409
Phone: (413) 734-8366
Fax: (413) 739-5596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2337 | Massachusetts |
Profile Details
| NPI number | 1184633547 |
|---|---|
| LBN Legal business name | Bausch, Daniel Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 6th, 2013 - about 12 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 | 1184633547 | NPPES |
| Massachusetts | MEDICAID | 0326836 | |
| Massachusetts | Other | 54588 |
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