Bailey, Kaitlyn
Bailey, Kaitlyn is an sole proprietor health care provider with primary practice located at 706 Green Blvd , Aurora IN 47001-1506. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bailey, Kaitlyn can be contacted via phone (812) 727-3504.Contact Information
Primary practice address
706 Green Blvd
Aurora IN 47001-1506
Phone: (812) 727-3504
Fax: (812) 727-3504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CII-2078 | Indiana |
Profile Details
| NPI number | 1013488204 |
|---|---|
| LBN Legal business name | Bailey, Kaitlyn |
| Credentials | CADACII |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Dec 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013488204 | NPPES |
| Ohio | MEDICAID | 611530 | |
| Ohio | MEDICAID | CII-2078 |
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