Bauer, Raymond T

Bauer, Raymond T is an individual health care provider with primary practice located at 25311 Little Mack Ave Suite B, St Clair Shores MI 48081-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bauer, Raymond T can be contacted via phone (586) 498-2400.

Contact Information

Primary practice address
25311 Little Mack Ave Suite B St Clair Shores MI 48081-3370
Phone: (586) 498-2400
Fax: (586) 498-2800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301062448 Michigan

Profile Details

NPI number 1083607691
LBN Legal business name Bauer, Raymond T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 12th, 2017 - about 8 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 1083607691 NPPES
Michigan MEDICAID 1083607691

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