Bailey, Audrey
Bailey, Audrey is an individual health care provider with primary practice located at 3311 E Wanamingo Dr , Wasilla AK 99654-2814. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bailey, Audrey can be contacted via phone (907) 352-1200.Contact Information
Primary practice address
3311 E Wanamingo Dr
Wasilla AK 99654-2814
Phone: (907) 352-1200
Fax: (907) 352-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1164644936 |
|---|---|
| LBN Legal business name | Bailey, Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1164644936 | NPPES |
| Alaska | MEDICAID | CM4512 |
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