Provider Demographics
NPI:1689890394
Name:ASPIRE INTERNAL MEDICINE, L.L.C.
Entity Type:Organization
Organization Name:ASPIRE INTERNAL MEDICINE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BAUERLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:636-527-9141
Mailing Address - Street 1:320 BUCKHURST DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-8346
Mailing Address - Country:US
Mailing Address - Phone:636-527-9141
Mailing Address - Fax:636-583-8559
Practice Address - Street 1:302 US HIGHWAY 50 W
Practice Address - Street 2:SUITE A
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1970
Practice Address - Country:US
Practice Address - Phone:636-583-8555
Practice Address - Fax:636-583-8559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006015211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty