Bailey, Breann Lyn

Bailey, Breann Lyn is an individual health care provider with primary practice located at 202 8Th St , Radford VA 24141-2426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailey, Breann Lyn can be contacted via phone (540) 639-5188.

Contact Information

Primary practice address
202 8Th St Radford VA 24141-2426
Phone: (540) 639-5188
Fax: (540) 639-9215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27148 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101246067 Virginia

Profile Details

NPI number 1306876099
LBN Legal business name Bailey, Breann Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 24th, 2016 - about 8 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 1306876099 NPPES
South Carolina MEDICAID 271486
South Carolina Other 7123334
South Carolina Other 379826
South Carolina Other 576007863102
South Carolina Other 7200954

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