Bauer, Matthew James

Bauer, Matthew James is an individual health care provider with primary practice located at 6905 E 96Th St Suite 600, Indianapolis IN 46250-4448. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Bauer, Matthew James can be contacted via phone (317) 577-1990.

Contact Information

Primary practice address
6905 E 96Th St Suite 600 Indianapolis IN 46250-4448
Phone: (317) 577-1990
Fax: (317) 577-1993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 08002002A Indiana

Profile Details

NPI number 1639392640
LBN Legal business name Bauer, Matthew James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 29th, 2012 - about 13 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 1639392640 NPPES
Indiana Other 202960577 TAX ID

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