Bauer, Jay Allen

Bauer, Jay Allen is an individual health care provider with primary practice located at 923 1St Street South , Carrington ND 58421-0139. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bauer, Jay Allen can be contacted via phone (701) 652-2801.

Contact Information

Primary practice address
923 1St Street South Carrington ND 58421-0139
Phone: (701) 652-2801
Fax: (701) 652-2802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1735 North Dakota

Profile Details

NPI number 1902988488
LBN Legal business name Bauer, Jay Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1902988488 NPPES
North Dakota MEDICAID 040949

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