Bailly, Eric C
Bailly, Eric C is an individual health care provider with primary practice located at 700 Broadway , Denver CO 80203-3421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bailly, Eric C can be contacted via phone (303) 367-2900.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 4447 | Colorado |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2284 | Colorado |
Profile Details
NPI number | 1871619494 |
---|---|
LBN Legal business name | Bailly, Eric C |
Credentials | LPC, CAC III |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2007 |
Last updated | Jan 8th, 2008 - about 16 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 | 1871619494 | NPPES |
Colorado | Other | AB30627 | EMPLOYEE ID |
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