Bailey, Mark S
Bailey, Mark S is an individual health care provider with primary practice located at 2010 Active Way , Benton AR 72019-7566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bailey, Mark S can be contacted via phone (501) 315-0984.Contact Information
Primary practice address
2010 Active Way
Benton AR 72019-7566
Phone: (501) 315-0984
Fax: (501) 847-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E-7064 | Arkansas |
Profile Details
| NPI number | 1336368661 |
|---|---|
| LBN Legal business name | Bailey, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Nov 16th, 2015 - about 9 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 | 1336368661 | NPPES |
| Arkansas | MEDICAID | 440133001 |
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