Bailey, Robert E

Bailey, Robert E is an individual health care provider with primary practice located at 222 S 27Th Ave Minor Care Clinic, Hattiesburg MS 39401-7165. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bailey, Robert E can be contacted via phone (601) 450-3030.

Contact Information

Primary practice address
222 S 27Th Ave Minor Care Clinic Hattiesburg MS 39401-7165
Fax: (601) 450-3031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 09411 Mississippi

Profile Details

NPI number 1134379175
LBN Legal business name Bailey, Robert E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Jul 1st, 2009 - about 16 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 1134379175 NPPES
Mississippi MEDICAID 07735713

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