Gauer, Bonnie Marie

Gauer, Bonnie Marie is an sole proprietor health care provider with primary practice located at 320 Nw Medical Loop , Roseburg OR 97471-1645. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gauer, Bonnie Marie can be contacted via phone (541) 440-2590.

Contact Information

Primary practice address
320 Nw Medical Loop Roseburg OR 97471-1645
Fax: (541) 440-9285
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3054AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 3097TX Washington

Profile Details

NPI number 1164401634
LBN Legal business name Gauer, Bonnie Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Jan 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164401634 NPPES
Oregon Other 06254900000 REGENCE BCBS REGULAR
Oregon MEDICAID 126636 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 289F9GA REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 09042 REGENCE BCBS REGULAR
Oregon Other CR0000PHDBR REGENCE BCBS REGULAR
Oregon Other P00087069 REGENCE BCBS REGULAR
Oregon Other 73167681308E729 REGENCE BCBS REGULAR
Oregon Other PR47149760001 REGENCE BCBS REGULAR
Oregon Other 430347-01 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR
Oregon Other 731676813974700000 REGENCE BCBS REGULAR
Oregon Other 731676813 REGENCE BCBS REGULAR

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