Mrs. Jacqueline Bailey
Prosthetist
2149 Stumbo Rd
Mansfield
, Ohio 44906-1265
Mrs. Jacqueline Bailey
Prosthetist
2149 Stumbo Rd
Mansfield
, Ohio 44906-1265
(419) 545-7423
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mrs. Jacqueline Bailey
- 2149 Stumbo Rd
- Mansfield, OH
- Zip : 44906-1265
- Phone : (419) 545-7423
Second Address
- Mrs. Jacqueline Bailey
- 2149 Stumbo Rd
- Mansfield, OH
- Zip : 44906-1265
- Phone : (419) 545-7423
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CP004121 | OH |
National Provider Identifier
| NPI | 1174002133 |
|---|---|
| Provider Name | Mrs. Jacqueline Bailey |
| First Address | Mansfield, OH 44906-1265 |
| Second Address | Mansfield, OH 44906-1265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2018 |
| Last Update Date | 13/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.