Bauer, Sara L
Bauer, Sara L is an individual health care provider with primary practice located at 1818 Carew St Ste 260 , Fort Wayne IN 46805-4792. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bauer, Sara L can be contacted via phone (260) 373-9250.Contact Information
Primary practice address
1818 Carew St Ste 260
Fort Wayne IN 46805-4792
Phone: (260) 373-9250
Fax: (260) 373-9262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71001512A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001512A | Indiana |
Profile Details
| NPI number | 1215084124 |
|---|---|
| LBN Legal business name | Bauer, Sara L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 17th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215084124 | NPPES |
| Indiana | MEDICAID | 200422850A |
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