Bauer, William

Bauer, William is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bauer, William can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1104391994
LBN Legal business name Bauer, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2018
Last updated Oct 8th, 2018 - 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 1104391994 NPPES
Utah Other 000055266 MEDICARE PIN
Utah MEDICAID 8760003008007 MEDICARE PIN
Utah Other 260022408 MEDICARE PIN

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