Individual
DR. JAY A BAUERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 COOPER RD STE 212, WESTERVILLE, OH 43081-8735
(614) 627-1400
(614) 882-6097
Mailing address
495 COOPER RD STE 212, WESTERVILLE, OH 43081-8735
(614) 627-1400
(614) 882-6097
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01043948A
IN
2084N0400X
Neurology Physician
Primary
095355
OH
2084N0400X
Neurology Physician
23994
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392104
ANTHEM BXBS
IN
05
—
200368430
—
IN
05
—
3056428
—
OH
05
—
381001773
—
WV
Enumeration date
04/25/2006
Last updated
02/25/2022
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