Bausback, Henry

Bausback, Henry is an individual health care provider with primary practice located at 6002 Pointe West Blvd , Bradenton FL 34209-5531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bausback, Henry can be contacted via phone (941) 792-2020.

Contact Information

Primary practice address
6002 Pointe West Blvd Bradenton FL 34209-5531
Phone: (941) 792-2020
Fax: (941) 792-9257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002622A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X OPC-5052 Florida

Profile Details

NPI number 1851361059
LBN Legal business name Bausback, Henry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851361059 NPPES
Indiana MEDICAID 100376610

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