1578692455 NPI number — ANNE C BAUER M.D.

Table of content: ANNE C BAUER M.D. (NPI 1578692455)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578692455 NPI number — ANNE C BAUER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAUER
Provider First Name:
ANNE
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578692455
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
VALLEY MEDICAL GROUP, P.C. - NORTHAMPTON HEALTH CENTER
Provider Second Line Business Mailing Address:
70 MAIN ST.
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01062-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-586-8400
Provider Business Mailing Address Fax Number:
866-644-0872

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
70 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01062-1466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-586-8400
Provider Business Practice Location Address Fax Number:
866-644-0872
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  57696 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com