Bailes, Christine Olga
Bailes, Christine Olga is an individual health care provider with primary practice located at 3505 E Meridian Park Loop Ste 100 , Wasilla AK 99654-7242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailes, Christine Olga can be contacted via phone (907) 864-0022.Contact Information
Primary practice address
3505 E Meridian Park Loop Ste 100
Wasilla AK 99654-7242
Phone: (907) 864-0022
Fax: (877) 725-7371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1536 | Alaska |
Profile Details
| NPI number | 1841686201 |
|---|---|
| LBN Legal business name | Bailes, Christine Olga |
| Credentials | RN, MSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Apr 26th, 2023 - about last year |
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 | 1841686201 | NPPES |
| Alaska | MEDICAID | 1630807 | |
| Alaska | MEDICAID | 1660501 |
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