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Contact Information

ERIC S BAILE, M.DIV., MAC
763 S NEW BALLAS RD
SUITE 340
SAINT LOUIS, MO63141-8704
 Phone: 314-872-2972
 Fax: 314-872-2975
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ERIC S BAILE · (Male)

NPI # 1003004557
Status Active
Credentials M.DIV., MAC
Entity Individual
Enumeration date 10/10/2007
Last updated 10/10/2007 - About 12 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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