Bailey, Jason T

Bailey, Jason T is an individual health care provider with primary practice located at 1425 N Fairfield Rd Ste 100 , Beavercreek OH 45432-2674. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bailey, Jason T can be contacted via phone (937) 641-5772.

Contact Information

Primary practice address
1425 N Fairfield Rd Ste 100 Beavercreek OH 45432-2674
Phone: (937) 641-5772
Fax: (937) 641-4668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2304991 Ohio

Profile Details

NPI number 1720444730
LBN Legal business name Bailey, Jason T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2016
Last updated Mar 29th, 2024 - about last year

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 1720444730 NPPES
Ohio MEDICAID 0039579

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