Bailey-Bradley, Shannon

Bailey-Bradley, Shannon is an sole proprietor health care provider with primary practice located at 119 Stark St , Waterloo NY 13165-8797. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bailey-Bradley, Shannon can be contacted via phone (315) 651-1753.

Contact Information

Primary practice address
119 Stark St Waterloo NY 13165-8797
Phone: (315) 651-1753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 281747-1 New York

Profile Details

NPI number 1346629425
LBN Legal business name Bailey-Bradley, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 9 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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