Provider Demographics
NPI:1619666377
Name:BAUMAN, DOROTHY ANNE (DEM, CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:ANNE
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:DEM, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8295 S FUNK RD
Mailing Address - Street 2:
Mailing Address - City:SHREVE
Mailing Address - State:OH
Mailing Address - Zip Code:44676
Mailing Address - Country:US
Mailing Address - Phone:330-462-3070
Mailing Address - Fax:
Practice Address - Street 1:8295 S FUNK RD
Practice Address - Street 2:
Practice Address - City:SHREVE
Practice Address - State:OH
Practice Address - Zip Code:44676
Practice Address - Country:US
Practice Address - Phone:330-462-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0001-2022176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife