Wahlquist, Bailey Elizabeth

Wahlquist, Bailey Elizabeth is an individual health care provider with primary practice located at 141 Market Pl Suite 206, Fairview Heights IL 62208-2034. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wahlquist, Bailey Elizabeth can be contacted via phone (618) 398-7250.

Contact Information

Primary practice address
141 Market Pl Suite 206 Fairview Heights IL 62208-2034
Phone: (618) 398-7250
Fax: (618) 398-6870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275784837
LBN Legal business name Wahlquist, Bailey Elizabeth
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Nov 3rd, 2011 - about 14 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 1275784837 NPPES
Other 12287066 CAQH

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