National Provider Identifier Database

JACQUELINE BAILEY, CP – NPI #1174002133
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JACQUELINE BAILEY, CP
2149 STUMBO RD
MANSFIELD, OH44906-1265
Phone: 419-545-7423
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for JACQUELINE BAILEY

NPI Number 1174002133
Credentials CP
Entity Individual
Enumeration date 08/10/2018
Last updated 11/13/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • OH License #: CP004121
Hospital affiliation n/a

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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