Bauer, Diane Elizabeth
Bauer, Diane Elizabeth is an sole proprietor health care provider with primary practice located at 4505 White Bear Pkwy Suite 1800, White Bear Lake MN 55110-3678. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bauer, Diane Elizabeth can be contacted via phone (651) 426-8191.Contact Information
Primary practice address
4505 White Bear Pkwy Suite 1800
White Bear Lake MN 55110-3678
Phone: (651) 426-8191
Fax: (651) 426-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2107 | Minnesota |
Profile Details
| NPI number | 1053492520 |
|---|---|
| LBN Legal business name | Bauer, Diane Elizabeth |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1053492520 | NPPES |
| Minnesota | Other | 62-74660 | UBH |
| Minnesota | Other | 4G022DA | UBH |
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