Bauer, Todd Joseph

Bauer, Todd Joseph is an sole proprietor health care provider with primary practice located at 151 Wisconsin Dells Pkwy S , Wisconsin Dells WI 53965-8304. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bauer, Todd Joseph can be contacted via phone (608) 253-0102.

Contact Information

Primary practice address
151 Wisconsin Dells Pkwy S Wisconsin Dells WI 53965-8304
Fax: (608) 253-0102
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4029-012 Wisconsin

Profile Details

NPI number 1609981380
LBN Legal business name Bauer, Todd Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated May 7th, 2019 - about 7 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 1609981380 NPPES
Wisconsin MEDICAID 38956600

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