Bailey, Mitchell Edward

Bailey, Mitchell Edward is an sole proprietor health care provider with primary practice located at 30 Mark West Springs Rd , Santa Rosa CA 95403-1436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bailey, Mitchell Edward can be contacted via phone (707) 328-9673.

Contact Information

Primary practice address
30 Mark West Springs Rd Santa Rosa CA 95403-1436
Phone: (707) 328-9673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G25349 California

Profile Details

NPI number 1366422008
LBN Legal business name Bailey, Mitchell Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Oct 26th, 2018 - 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 1366422008 NPPES
California MEDICAID 00G253490
California Other P00270015
California Other 00G253490

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