Individual
JOHN HOWARD BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5683
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801019782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509104120
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/11/2006
Last updated
05/29/2013
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