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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720444730 | NPPES |
| Ohio | MEDICAID | 0039579 |
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