Bauer, Bonnie L

Bauer, Bonnie L is an individual health care provider with primary practice located at 306 11Th St , Dewitt IA 52742-1404. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bauer, Bonnie L can be contacted via phone (563) 659-1667.

Contact Information

Primary practice address
306 11Th St Dewitt IA 52742-1404
Phone: (563) 659-1667
Fax: (563) 221-9218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X AO5310 Iowa

Profile Details

NPI number 1952380057
LBN Legal business name Bauer, Bonnie L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 20th, 2011 - about 15 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 1952380057 NPPES
Iowa Other 00969 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1009696 BLUE CROSS BLUE SHIELD
Iowa Other 42-1502650 BLUE CROSS BLUE SHIELD
Iowa Other 7567 BLUE CROSS BLUE SHIELD

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