Bauer-Marsh, Elizabeth A

Bauer-Marsh, Elizabeth A is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Bauer-Marsh, Elizabeth A can be contacted via phone (309) 672-4972.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Phone: (309) 672-4972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036097443 Illinois

Profile Details

NPI number 1750329074
LBN Legal business name Bauer-Marsh, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 13th, 2012 - 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 1750329074 NPPES
Illinois Other 220028221 RAILROAD MEDICARE
Illinois MEDICAID 0360974431 RAILROAD MEDICARE

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