Dr. Jacob Howard Bauer
Dermatologist MOHS-Micrographic Surgeon
304 W Bay Dr Nw Ste 301
Olympia
, Washington 98502-4958
Dr. Jacob Howard Bauer
Dermatologist MOHS-Micrographic Surgeon
304 W Bay Dr Nw Ste 301
Olympia
, Washington 98502-4958
(360) 413-8760
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jacob Howard Bauer
- 304 W Bay Dr Nw Ste 301
- Olympia, WA
- Zip : 98502-4958
- Phone : (360) 413-8760
Second Address
- Dr. Jacob Howard Bauer
- 304 W Bay Dr Nw Ste 301
- Olympia, WA
- Zip : 98502-4958
- Phone : (360) 413-8760
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | MD 60075013 | WA |
| N | 207N00000X | Dermatologist | MD12612 | RI |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD 60075013 | WA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | MD12612 | RI |
National Provider Identifier
| NPI | 1407029762 |
|---|---|
| Provider Name | Dr. Jacob Howard Bauer |
| First Address | Olympia, WA 98502-4958 |
| Second Address | Olympia, WA 98502-4958 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2008 |
| Last Update Date | 22/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.