Bailey, Jake Richard

Bailey, Jake Richard is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bailey, Jake Richard can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Lexington KY 40511-1275
Phone: (859) 253-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Kentucky

Profile Details

NPI number 1467234294
LBN Legal business name Bailey, Jake Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2023
Last updated Oct 17th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467234294 NPPES
Kentucky MEDICAID 1790731081

Popular Providers