Bauer, Mary Theresa

Bauer, Mary Theresa is an individual health care provider with primary practice located at 6701 Rockside Rd #260, Independence OH 44131-2358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bauer, Mary Theresa can be contacted via phone (216) 369-2525.

Contact Information

Primary practice address
6701 Rockside Rd #260 Independence OH 44131-2358
Phone: (216) 369-2525
Fax: (216) 369-2531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1498 Ohio

Profile Details

NPI number 1437147402
LBN Legal business name Bauer, Mary Theresa
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 14th, 2009 - about 17 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 1437147402 NPPES
Ohio Other 000000493627 ANTHEM

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