Bailen, James L

Bailen, James L is an individual health care provider with primary practice located at 101 Hospital Blvd. , Jeffersonville IN 47130-3748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bailen, James L can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
101 Hospital Blvd. Jeffersonville IN 47130-3748
Fax: (812) 282-4173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 16906 Kentucky
Allopathic & Osteopathic Physicians / Urology 208800000X 01029149A Indiana

Profile Details

NPI number 1639166713
LBN Legal business name Bailen, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639166713 NPPES
Kentucky MEDICAID 64169063
Kentucky Other 340008066
Kentucky MEDICAID 100362060
Kentucky Other 340004941

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