1437147402 NPI number — MARY THERESA BAUER PAC

Table of content: MARY THERESA BAUER PAC (NPI 1437147402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437147402 NPI number — MARY THERESA BAUER PAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAUER
Provider First Name:
MARY
Provider Middle Name:
THERESA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437147402
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6701 ROCKSIDE RD
Provider Second Line Business Mailing Address:
#260
Provider Business Mailing Address City Name:
INDEPENDENCE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44131-2358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-369-2525
Provider Business Mailing Address Fax Number:
216-369-2531

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6701 ROCKSIDE RD
Provider Second Line Business Practice Location Address:
#260
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44131-2358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-369-2525
Provider Business Practice Location Address Fax Number:
216-369-2531
Provider Enumeration Date:
10/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  1498 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000493627 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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