Bailey, Jason Eric

Bailey, Jason Eric is an individual health care provider with primary practice located at 2110 Carolina Ave Sw Fl 3 , Roanoke VA 24014-1742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bailey, Jason Eric can be contacted via phone (540) 777-1711.

Contact Information

Primary practice address
2110 Carolina Ave Sw Fl 3 Roanoke VA 24014-1742
Phone: (540) 777-1711
Fax: (540) 777-1713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002428 Virginia

Profile Details

NPI number 1760567481
LBN Legal business name Bailey, Jason Eric
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 10th, 2020 - 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 1760567481 NPPES
Virginia MEDICAID 1760567481

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