David L Bauer | Valparaiso, IN • PECOS Search

David L Bauer

Counselor

Behavioral Health & Social Service Providers

2505 Valley Dr, Valparaiso, IN 46383-2518

PECOS Enrollment

Based on the most recent information from CMS, provider David L Bauer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1265590665
Provider Type
Individual
Full Name
Bauer, David L
Title
Mr.
Credential
MA

Gender
Male
Sole Proprietor
No
Enumeration Date
12/5/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2505 Valley Dr, Valparaiso, IN 46383-2518

(219) 462-1579

Mailing Location

2505 Valley Dr, Valparaiso, IN 46383-2518

(219) 462-1579

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39000884A Indiana