| Dr Rick D Bauer | |
|
109 W Main St Loogootee IN 47553-1506 | |
| (812) 295-3163 | |
| Not Available |
| Full Name | Dr Rick D Bauer |
|---|---|
| Speciality | Clinic/center |
| Location | 109 W Main St, Loogootee, Indiana |
| Authorized Official Name and Position | Rick D Bauer (OWNER) |
| Authorized Official Contact | 8122953163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rick D Bauer Po Box 296 Loogootee IN 47553-0296 Ph: (812) 295-3163 | Dr Rick D Bauer 109 W Main St Loogootee IN 47553-1506 Ph: (812) 295-3163 |
| NPI Number | 1093984155 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093984155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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