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Contact Information

BAILEY M COOPER, B.A.
121 E 2ND ST
BEARDSTOWN, IL62618-1263
 Phone: 217-323-2980
 Fax: 217-323-3731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BAILEY M COOPER · (Female)

NPI # 1972097806
Status Active
Credentials B.A.
Entity Individual
Enumeration date 06/14/2018
Last updated 06/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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