Matthew James Bauer in Indianapolis - Sports Physician
Matthew James Bauer - NPI 1639392640
Matthew James Bauer is a Sports Physician in Indianapolis, Indiana. Matthew James Bauer practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Matthew James Bauer is 1639392640. The last update date is 2012-11-29.
Matthew James Bauer's current location address is 6905 E 96th St, Indianapolis, Indiana. You can contact this provider via phone number 3175771990 and fax number 3175771993. The mailing address for Matthew James Bauer is 6905 E 96th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew James Bauer |
|---|---|
| Address | 6905 E 96th St, Indianapolis, Indiana |
| Phone Number | 3175771990 |
| Fax Number | 3175771993 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1639392640 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2012-11-29 |
Provider Mailing Address Detail
| Address | 6905 E 96th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462504448 |
| Phone Number | 3175771990 |
| Fax Number | 3175771993 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 08002002A |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202960577 | IN | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew James Bauer by the Centers for Medicare & Medicaid Services?
The Matthew James Bauer has been assigned the NPI (National Provider Identifier) 1639392640. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Matthew James Bauer is physically located?
The Matthew James Bauer is situated at the following address: 6905 E 96Th St, Indianapolis, IN 462504448.
What is Matthew James Bauer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matthew James Bauer is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
When did the Matthew James Bauer receive its 1639392640?
The Matthew James Bauer was issued its 1639392640 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
When was the Matthew James Bauer's information last updated?
The Matthew James Bauer's information was last updated on 2012-11-29.