Bailey, Dustin N
Bailey, Dustin N is an individual health care provider with primary practice located at 745 Craig Rd Ste 102C , Creve Coeur MO 63141-7122. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bailey, Dustin N can be contacted via phone (314) 662-4403.Contact Information
Primary practice address
745 Craig Rd Ste 102C
Creve Coeur MO 63141-7122
Phone: (314) 662-4403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2003032164 | Missouri |
Profile Details
| NPI number | 1518046267 |
|---|---|
| LBN Legal business name | Bailey, Dustin N |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1518046267 | NPPES |
| Missouri | MEDICAID | 497543801 |
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