Bailey, Joel G

Bailey, Joel G is an sole proprietor health care provider with primary practice located at 119 Library Hill Ln , Lexington SC 29072-3893. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bailey, Joel G can be contacted via phone (803) 359-2110.

Contact Information

Primary practice address
119 Library Hill Ln Lexington SC 29072-3893
Fax: (803) 359-2314
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 705 South Carolina

Profile Details

NPI number 1326025453
LBN Legal business name Bailey, Joel G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Nov 12th, 2013 - about 11 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 1326025453 NPPES
South Carolina MEDICAID D07053

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