Bailey, Mary J

Bailey, Mary J is an individual health care provider with primary practice located at 97 Great Teays Blvd Suite 6, Scott Depot WV 25560-9815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailey, Mary J can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Suite 6 Scott Depot WV 25560-9815
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41101 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TP232 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22597 West Virginia

Profile Details

NPI number 1295953065
LBN Legal business name Bailey, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 5th, 2019 - about 6 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 1295953065 NPPES
West Virginia Other 22597 LICENSE
West Virginia MEDICAID 7100017680 LICENSE
West Virginia MEDICAID 2748389 LICENSE
West Virginia MEDICAID 3810009259 LICENSE
West Virginia Other TP232 LICENSE

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