Bailey, Charlene

Bailey, Charlene is an sole proprietor health care provider with primary practice located at 15501 Metropolitan Pkwy Ste110, Clinton Twp MI 48036-1684. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bailey, Charlene can be contacted via phone (586) 286-9720.

Contact Information

Primary practice address
15501 Metropolitan Pkwy Ste110 Clinton Twp MI 48036-1684
Phone: (586) 286-9720
Fax: (586) 286-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601002587 Michigan

Profile Details

NPI number 1801975420
LBN Legal business name Bailey, Charlene
Credentials P.A. C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Feb 11th, 2009 - about 16 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 1801975420 NPPES
Michigan Other 550140 BLUE CROSS BLUE SHIELD

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