John Earl Bader Jr., RRT-ACCS,SDS, AE-C
Respiratory Therapist, Registered in Hermann, MO. Individual provider (NPI-1).
NPI number1700649100
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1700649100
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Earl Bader Jr.
- Credential
- RRT-ACCS,SDS, AE-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227900000X | Respiratory Therapist, Registered | 101349 | MO | Yes |
| 2279C0205X | Respiratory Therapist, Registered, Critical Care | 101349 | MO | |
| 2279E0002X | Respiratory Therapist, Registered, Emergency Care | 101349 | MO | |
| 2279E1000X | Respiratory Therapist, Registered, Educational | 101349 | MO | |
| 2279G0305X | Respiratory Therapist, Registered, Geriatric Care | 101349 | MO | |
| 2279G1100X | Respiratory Therapist, Registered, General Care | 101349 | MO | |
| 2279P1004X | Respiratory Therapist, Registered, Pulmonary Diagnostics | 101349 | MO | |
| 2279P1006X | Respiratory Therapist, Registered, Pulmonary Function Technologist | 101349 | MO | |
| 2279P3900X | Respiratory Therapist, Registered, Neonatal/Pediatrics | 101349 | MO | |
| 2279S1500X | Respiratory Therapist, Registered, SNF/Subacute Care | 101349 | MO | |
| 246ZE0500X | Specialist/Technologist, Other, EEG | 101349 | MO |
Practice location
509 W 18th StHermann, MO 65041-1547
Phone 573-486-2191
Mailing address
4205 Cotton Wood DrColumbia, MO 65202-4910
Phone 573-554-4952
Other practice locations
800 Hospital Dr
Columbia, MO 65201-5275
Columbia, MO 65201-5275
Phone 573-814-6000
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