Provider Demographics
NPI:1578625034
Name:HANGEE-BAUER, CARL STUART (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:STUART
Last Name:HANGEE-BAUER
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2810
Mailing Address - Country:US
Mailing Address - Phone:415-643-6600
Mailing Address - Fax:415-643-6644
Practice Address - Street 1:1615 20TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2810
Practice Address - Country:US
Practice Address - Phone:415-643-6600
Practice Address - Fax:415-643-6644
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3595171100000X
CAND-2175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath