Bauer, Brooke
Bauer, Brooke is an individual health care provider with primary practice located at 2400 Eastpoint Pkwy Ste 410 , Louisville KY 40223-4154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Bauer, Brooke can be contacted via phone (502) 253-6625.Contact Information
Primary practice address
2400 Eastpoint Pkwy Ste 410
Louisville KY 40223-4154
Phone: (502) 253-6625
Fax: (502) 253-6629
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R1704 | Texas |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 49059 | Kentucky |
Profile Details
NPI number | 1386088508 |
---|---|
LBN Legal business name | Bauer, Brooke |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2013 |
Last updated | Dec 10th, 2020 - 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 | 1386088508 | NPPES |
Kentucky | MEDICAID | 7100329620 |
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