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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 ID | 1407090897 |
|---|---|
| PAC ID by PECOS | 5991940991 |
| Professional Enrollment ID | I20130322000065 |
| Name | BROCK A BAUER |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| All secondary specialties | |
| Organization Name | ENLIVEN RESOURCES LLC |
| Group Practice PAC ID | 9537304530 |
| Number of Group Practice members | 3 |
| Address | 6797 N HIGH ST, , WORTHINGTON, OH, 430852533 |
| Hospital affiliation LBN | |
| Graduation Year | 2004 |
| Contact Number | 6149404868 |
| Email Address | [Show_Email_ID] |
| Phone Number | [Show_Phone] |
| Website | [Show_Website] |