BAILEY R ROTH NPI 1952767782

NPI Information

NPI: 1952767782
Provider Name: BAILEY R ROTH
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
380 N VAN BUREN AVE
BRADLEY, IL
ZIP 60915
Phone: (815) 953-1019
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Bailey R Roth is a student in an organized health care education training program in Bradley, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bailey R Roth NPI is 1952767782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

380 N VAN BUREN AVE
BRADLEY, IL
ZIP 60915-486
Phone: (815) 953-1019

The enumeration date for this NPI number is 1/8/2016 and was last updated on 1/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		2255A2300X	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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