Bauwens, Jesse E
Bauwens, Jesse E is an individual health care provider with primary practice located at 2500 N Mayfair Rd Ste 500 , Milwaukee WI 53226-1415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bauwens, Jesse E can be contacted via phone (414) 257-2525.Contact Information
Primary practice address
2500 N Mayfair Rd Ste 500
Milwaukee WI 53226-1415
Phone: (414) 257-2525
Fax: (414) 257-1772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 50174 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 61173-20 | Wisconsin |
Profile Details
| NPI number | 1730445230 |
|---|---|
| LBN Legal business name | Bauwens, Jesse E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Oct 17th, 2018 - about 6 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 | 1730445230 | NPPES |
| Kentucky | Other | P01922788 | MEDICARE RR KY |
| Kentucky | MEDICAID | 100034131 | MEDICARE RR KY |
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