Bailes, Elizabeth W

Bailes, Elizabeth W is an individual health care provider with primary practice located at 1622 Westgate Cir , Brentwood TN 37027-8019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailes, Elizabeth W can be contacted via phone (629) 255-2094.

Contact Information

Primary practice address
1622 Westgate Cir Brentwood TN 37027-8019
Fax: (629) 255-4106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39422 Tennessee

Profile Details

NPI number 1346237138
LBN Legal business name Bailes, Elizabeth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 21st, 2019 - about 6 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 1346237138 NPPES
Tennessee MEDICAID 1506386

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