Bauer, Cassidy Phoenix Ela

Bauer, Cassidy Phoenix Ela is an sole proprietor health care provider with primary practice located at 223 Center St , Winona MN 55987-3595. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bauer, Cassidy Phoenix Ela can be contacted via phone (507) 474-4840.

Contact Information

Primary practice address
223 Center St Winona MN 55987-3595
Phone: (507) 474-4840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1538707070
LBN Legal business name Bauer, Cassidy Phoenix Ela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 7 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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