Bailey, Katherine

Bailey, Katherine is an sole proprietor health care provider with primary practice located at 1307 W Washington Ste 100, Oregon IL 61061-1022. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bailey, Katherine can be contacted via phone (815) 732-2581.

Contact Information

Primary practice address
1307 W Washington Ste 100 Oregon IL 61061-1022
Fax: (815) 732-3926
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003426 Illinois

Profile Details

NPI number 1972698645
LBN Legal business name Bailey, Katherine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated May 6th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972698645 NPPES
Other 480034798 RR MEDICARE
Other 0060101255 RR MEDICARE

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