Provider Demographics
NPI:1225375454
Name:ROCEK BAYLEY, LINDA JANE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JANE
Last Name:ROCEK BAYLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:JANE
Other - Last Name:ROCEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15916 SAN MIGUEL CIR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1677
Mailing Address - Country:US
Mailing Address - Phone:405-371-3289
Mailing Address - Fax:
Practice Address - Street 1:15916 SAN MIGUEL CIR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1677
Practice Address - Country:US
Practice Address - Phone:405-371-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator