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BROCK A BAUER
OTHER

BROCK A BAUER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1407090897. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5991940991. The primary specialty is CLINICAL SOCIAL WORKER. The organization is ENLIVEN RESOURCES LLC. The address is 6797 N HIGH ST, , WORTHINGTON, OH, 430852533. The zip code is 430852533.


Nation Provider ID1407090897
PAC ID by PECOS5991940991
Professional Enrollment IDI20130322000065
NameBROCK A BAUER
Medical School NameOTHER
Graduation Year2004
Primary SpecialtyCLINICAL SOCIAL WORKER
All secondary specialties
Organization NameENLIVEN RESOURCES LLC
Group Practice PAC ID9537304530
Number of Group Practice members3
Address6797 N HIGH ST, , WORTHINGTON, OH, 430852533
Hospital affiliation LBN
Graduation Year2004
Contact Number6149404868
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]