Bailey, Suzane E
Bailey, Suzane E is an sole proprietor health care provider with primary practice located at 1535 Tamera Dr , Klamath Falls OR 97603-4179. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailey, Suzane E can be contacted via phone (541) 884-2911.Contact Information
Primary practice address
1535 Tamera Dr
Klamath Falls OR 97603-4179
Phone: (541) 884-2911
Fax: (541) 884-7987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1125 | Oregon |
Profile Details
| NPI number | 1649382524 |
|---|---|
| LBN Legal business name | Bailey, Suzane E |
| Credentials | LCSW, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649382524 | NPPES |
| Oregon | Other | 0000931187926 | TRICARE |
| Oregon | Other | 62-74831 | TRICARE |
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