Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01080528A | IN |
N | 208000000X | Pediatrician | 57.026376 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 01080528A | IN |
NPI | 1215321682 |
---|---|
Provider Name | Sarah E. Bauer |
First Address | Indianapolis, IN 46206-1026 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 07/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300044123 | (05) | IN |