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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1215084124 NPPES
Indiana MEDICAID 200422850A

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