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NPI Code Detail

MEDICARE: MS. JEANNE ELIZABETH BAUER CNM

MEDICARE: MS. JEANNE ELIZABETH BAUER CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeRN167622,NM02982OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386647204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANNE ELIZABETH BAUER CNM
Provider Business Mailing Address
First Line : 5069 BUFFALO RUN
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-6709
Country : US
Telephone Number : 614-523-3222
Fax Number :
Provider Business Practice Location Address
First Line : 500 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8971
Country : US
Telephone Number : 614-898-4605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/28/2008

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