Bailey, Jason

Bailey, Jason is an sole proprietor health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bailey, Jason can be contacted via phone (417) 875-3462.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807
Phone: (417) 875-3462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 201910205 Missouri

Profile Details

NPI number 1568887255
LBN Legal business name Bailey, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2014
Last updated Aug 8th, 2019 - about 5 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 1568887255 NPPES
Missouri MEDICAID 200070248

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