Gavin, Bailey Jeanne
Gavin, Bailey Jeanne is an individual health care provider with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gavin, Bailey Jeanne can be contacted via phone (608) 252-8000.Contact Information
Primary practice address
1211 Fish Hatchery Rd
Madison WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 283-7381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1057 | Wisconsin |
Profile Details
| NPI number | 1295582393 |
|---|---|
| LBN Legal business name | Gavin, Bailey Jeanne |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2024 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1295582393 | NPPES |
| Wisconsin | MEDICAID | 1295582393 |
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