Jacobson-Bauer, Heather

Jacobson-Bauer, Heather is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacobson-Bauer, Heather can be contacted via phone (701) 530-7000.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Phone: (701) 530-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R27292 North Dakota

Profile Details

NPI number 1447303334
LBN Legal business name Jacobson-Bauer, Heather
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 14th, 2016 - about 10 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 1447303334 NPPES
North Dakota MEDICAID 1452849

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