Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 201101127 | NC |
Y | 111NI0900X | Internist | 201101127 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 35037141 | OH |
NPI | 1023058930 |
---|---|
Provider Name | Dr. Dennis J Bauman |
First Address | Yadkinville, NC 27055-0249 |
Second Address | Elkin, NC 28621-2444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 23/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2032633 | (05) | OH |
C59647 | (02) | OH |