Bauer, Matthew

Bauer, Matthew is an individual health care provider with primary practice located at Bldg #50, Farenholt Ave , Agana Heights GU 96910. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bauer, Matthew can be contacted via phone (671) 344-9202.

Contact Information

Primary practice address
Bldg #50, Farenholt Ave Agana Heights GU 96910
Phone: (671) 344-9202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-2273 Guam
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A157303 California

Profile Details

NPI number 1043730542
LBN Legal business name Bauer, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Feb 22nd, 2023 - about 2 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 1043730542 NPPES
California MEDICAID VAD0000

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