Bailes, Tammy L
Bailes, Tammy L is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846-5614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailes, Tammy L can be contacted via phone (620) 275-3700.Contact Information
Primary practice address
311 E Spruce St
Garden City KS 67846-5614
Phone: (620) 275-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 44445 | Kansas |
Profile Details
| NPI number | 1821247131 |
|---|---|
| LBN Legal business name | Bailes, Tammy L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821247131 | NPPES |
| Kansas | Other | 44445 | LICENSE |
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