Eugenia Kay Bauer, BA

Individual provider Active NPI Case Manager/Care Coordinator · Elkhart, IN

NPI 1578891602 · NPPES record last updated Dec 1, 2009

Key facts

NPI
1578891602
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1400 Hudson St
Elkhart, IN 46516-2023
Phone
(574) 522-0104
Fax
(574) 522-1902
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1400 Hudson St
Elkhart, IN 46516-2023

Mailing address

1400 Hudson St
Elkhart, IN 46516-2023
Phone (574) 522-0104

Other providers in Elkhart, IN

All providers in Elkhart, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.