Jennifer Diane Bauer in North Chesterfield - Physician Assistant

Jennifer Diane Bauer - NPI 1790875698

Jennifer Diane Bauer is a Physician Assistant in North Chesterfield, Virginia. Jennifer Diane Bauer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Diane Bauer is 1790875698. The last update date is 2018-06-12.

Jennifer Diane Bauer's current location address is 10800 Midlothian Tpke Ste 309, North Chesterfield, Virginia. You can contact this provider via phone number 8045494040. The mailing address for Jennifer Diane Bauer is 10800 Midlothian Tpke Ste 309, North Chesterfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Diane Bauer
Address 10800 Midlothian Tpke Ste 309, North Chesterfield, Virginia
Phone Number 8045494040
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1790875698
Provider Enumeration Date 2006-10-13
Last Updated Date 2018-06-12

Provider Mailing Address Detail

Address 10800 Midlothian Tpke Ste 309
City North Chesterfield
State Virginia (VA)
Post Code 23235
Phone Number 8045494040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110002369
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00365127 VA RAILROAD MEDICARE

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FAQs about Jennifer Diane Bauer

What is the unique 10-digit identification code assigned to Jennifer Diane Bauer by the Centers for Medicare & Medicaid Services?

The Jennifer Diane Bauer has been issued the NPI (National Provider Identifier) 1790875698, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jennifer Diane Bauer?

The Jennifer Diane Bauer is physically situated at 10800 Midlothian Tpke Ste 309, in the city of North Chesterfield, state of VA, with the postal code 23235.

What is Jennifer Diane Bauer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer Diane Bauer is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790875698 to Jennifer Diane Bauer?

The Jennifer Diane Bauer received its 1790875698 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.

When was the information regarding Jennifer Diane Bauer most recently updated?

The details pertaining to the Jennifer Diane Bauer, including its address, specialty, and other relevant information, were last refreshed on 2018-06-12.

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