Provider Demographics
NPI:1417112681
Name:BAILEY CHIROPRACTIC AND WELLNESS, PC
Entity Type:Organization
Organization Name:BAILEY CHIROPRACTIC AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:276-964-9960
Mailing Address - Street 1:1100 CEDAR VALLEY DR STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:24609-9247
Mailing Address - Country:US
Mailing Address - Phone:276-964-9960
Mailing Address - Fax:276-964-9964
Practice Address - Street 1:1100 CEDAR VALLEY DR STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-9247
Practice Address - Country:US
Practice Address - Phone:276-964-9960
Practice Address - Fax:276-964-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-27
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty