Provider Demographics
NPI:1457762510
Name:SAUER, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48780 AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-9709
Mailing Address - Country:US
Mailing Address - Phone:440-897-4969
Mailing Address - Fax:
Practice Address - Street 1:48780 AUSTIN RD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-9709
Practice Address - Country:US
Practice Address - Phone:440-897-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2217989172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker