Bailey, Carla J

Bailey, Carla J is an individual health care provider with primary practice located at 415 E Madison St , South Bend IN 46617-2322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bailey, Carla J can be contacted via phone (574) 849-7693.

Contact Information

Primary practice address
415 E Madison St South Bend IN 46617-2322
Phone: (574) 849-7693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2020043811 Indiana

Profile Details

NPI number 1831763093
LBN Legal business name Bailey, Carla J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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