Bausch, Daniel Edward

Bausch, Daniel Edward is an sole proprietor health care provider with primary practice located at 289 Bridge St , Springfield MA 01103-1409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bausch, Daniel Edward can be contacted via phone (413) 734-8366.

Contact Information

Primary practice address
289 Bridge St Springfield MA 01103-1409
Phone: (413) 734-8366
Fax: (413) 739-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2337 Massachusetts

Profile Details

NPI number 1184633547
LBN Legal business name Bausch, Daniel Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Aug 6th, 2013 - about 12 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 1184633547 NPPES
Massachusetts MEDICAID 0326836
Massachusetts Other 54588

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