Bauman, Melody Ann
Bauman, Melody Ann is an individual health care provider with primary practice located at 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M , Bloomington IL 61701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bauman, Melody Ann can be contacted via phone (309) 661-2368.Contact Information
Primary practice address
1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M
Bloomington IL 61701
Phone: (309) 661-2368
Fax: (309) 662-9709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006316 | Illinois |
Profile Details
| NPI number | 1487172409 |
|---|---|
| LBN Legal business name | Bauman, Melody Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Sep 29th, 2020 - about 6 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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