Dale V Bauman in Bossier City - Specialist

Dale V Bauman - NPI 1609844034

Dale V Bauman is a Specialist in Bossier City, Louisiana. Dale V Bauman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dale V Bauman is 1609844034. The last update date is 2007-07-08.

Dale V Bauman's current location address is 2300 Hospital Dr, Bossier City, Louisiana. You can contact this provider via phone number 3187521502 and fax number 3187521504. The mailing address for Dale V Bauman is 2300 Hospital Dr, Bossier City, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale V Bauman
Address 2300 Hospital Dr, Bossier City, Louisiana
Phone Number 3187521502
Fax Number 3187521504
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1609844034
Provider Enumeration Date 2006-03-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2300 Hospital Dr
City Bossier City
State Louisiana (LA)
Post Code 711112166
Phone Number 3187521502
Fax Number 3187521504

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 04029R
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E5348 TX TX STATE MEDICAL LIC
04029R LA LA STATE MEDICAL LIC
1303976 LA --

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FAQs about Dale V Bauman

What is the unique provider identifier assigned to Dale V Bauman?

The Dale V Bauman has been issued the NPI (National Provider Identifier) 1609844034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Dale V Bauman is geographically located?

The Dale V Bauman is physically situated at the following location: 2300 Hospital Dr, Bossier City, LA, 711112166.

What is the Dale V Bauman's specialty and taxonomy code?

The Dale V Bauman's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Dale V Bauman receive its 1609844034 assignment from the Centers for Medicare & Medicaid Services?

The Dale V Bauman was assigned its 1609844034 by the Centers for Medicare & Medicaid Services on 2006-03-10.

As of what date was the information pertaining to Dale V Bauman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dale V Bauman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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