Bailey, Jason M
Bailey, Jason M is an individual health care provider with primary practice located at 2900 Medical Center Pkwy Ste 310 , Bentonville AR 72712-3214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bailey, Jason M can be contacted via phone (479) 553-3310.Contact Information
Primary practice address
2900 Medical Center Pkwy Ste 310
Bentonville AR 72712-3214
Phone: (479) 553-3310
Fax: (479) 553-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 05-36693 | Kansas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 05-36693 | Kansas |
Profile Details
| NPI number | 1275738486 |
|---|---|
| LBN Legal business name | Bailey, Jason M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jun 2nd, 2021 - about 4 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 | 1275738486 | NPPES |
| Kansas | MEDICAID | 201086210A | |
| Kansas | MEDICAID | 200508990A |
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