Bailey-Johnson, Patricia

Bailey-Johnson, Patricia is an sole proprietor health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey-Johnson, Patricia can be contacted via phone (244) 631-1170.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007005A Indiana

Profile Details

NPI number 1346647583
LBN Legal business name Bailey-Johnson, Patricia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2014
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346647583 NPPES
Indiana Other M47140441 MEDICARE
Indiana MEDICAID 300041505 MEDICARE

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