Bailey, Michelle M

Bailey, Michelle M is an individual health care provider with primary practice located at 13170 Ravenna Road Suite 200, Chardon OH 44024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bailey, Michelle M can be contacted via phone (844) 542-6363.

Contact Information

Primary practice address
13170 Ravenna Road Suite 200 Chardon OH 44024
Phone: (844) 542-6363
Fax: (440) 279-1582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.004977RX Ohio

Profile Details

NPI number 1578003802
LBN Legal business name Bailey, Michelle M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2017
Last updated Mar 1st, 2021 - about 4 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 1578003802 NPPES
Ohio Other H507850 MEDICARE
Ohio Other H507851 MEDICARE
Ohio MEDICAID 0211306 MEDICARE

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