Eric C Bailly is a Addiction Medicine in Denver, Colorado. Eric C Bailly practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Eric C Bailly is 1871619494. The last update date is 2008-01-08.
Eric C Bailly's current location address is 2585 Holly St, Denver, Colorado. You can contact this provider via phone number 7202256158. The mailing address for Eric C Bailly is 2585 Holly St, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric C Bailly |
|---|---|
| Address | 2585 Holly St, Denver, Colorado |
| Phone Number | 7202256158 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC, CAC I |
NPI Number Detail
| NPI Number | 1871619494 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 2585 Holly St |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802073227 |
| Phone Number | 7202256158 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 4447 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AB30627 | CO | EMPLOYEE ID |
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What is the Eric C Bailly's unique identification number?
The Eric C Bailly has been assigned the NPI (National Provider Identifier) Number 1871619494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Eric C Bailly located?
The Eric C Bailly is located at 2585 Holly St, Denver, CO 802073227.
What is Eric C Bailly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric C Bailly is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 2084A0401X.
When did the Eric C Bailly receive its 1871619494?
The Eric C Bailly was issued its 1871619494 on 2007-03-22, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Eric C Bailly most recently updated or revised?
The details related to Eric C Bailly, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-08.