Bailey, Shane

Bailey, Shane is an sole proprietor health care provider with primary practice located at 1823 S Jackson Ave Apt 31J , Tulsa OK 74107-1867. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bailey, Shane can be contacted via phone (503) 267-2449.

Contact Information

Primary practice address
1823 S Jackson Ave Apt 31J Tulsa OK 74107-1867
Phone: (503) 267-2449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1649910738
LBN Legal business name Bailey, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - about 2 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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