BERTHEOPHILUS M BAILEY SR, MHR, BHRS, Pastoral TULSA, OK

Contact Information

BERTHEOPHILUS M BAILEY SR, MHR, BHRS

3426 S 148TH EAST PL
TULSA, OK 74134-4806

Phone: 918-282-9385
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pastoral	101YP1600X
Mental Health	101YM0800X

Indicates primary specialty

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NPI Profile & details for BERTHEOPHILUS M BAILEY SR · (Male)

NPI Number	`1912282567`
Status	Active
Credentials	MHR, BHRS
Entity	Individual
Enumeration date	10/14/2011
Last updated	10/14/2011 - About 15 years ago
Sole proprietor ¹	Yes
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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