Bauer, Daryl R

Bauer, Daryl R is an individual health care provider with primary practice located at 150 N Eagle Creek Dr , Lexington KY 40509-1805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bauer, Daryl R can be contacted via phone (859) 967-5000.

Contact Information

Primary practice address
150 N Eagle Creek Dr Lexington KY 40509-1805
Phone: (859) 967-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3003715 Kentucky

Profile Details

NPI number 1497757116
LBN Legal business name Bauer, Daryl R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated May 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497757116 NPPES
Kentucky MEDICAID 74004151

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