Provider Demographics
NPI:1518756824
Name:BAILEY ALBERS, BREGHAN (IHP)
Entity type:Individual
Prefix:
First Name:BREGHAN
Middle Name:
Last Name:BAILEY ALBERS
Suffix:
Gender:
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 MANITOU TRL
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-1025
Mailing Address - Country:US
Mailing Address - Phone:219-728-7295
Mailing Address - Fax:
Practice Address - Street 1:3419 MANITOU TRL
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-1025
Practice Address - Country:US
Practice Address - Phone:219-728-7295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach