Bailey, Roger B
Bailey, Roger B is an sole proprietor health care provider with primary practice located at 1206 E National Ave , Brazil IN 47834-2718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bailey, Roger B can be contacted via phone (812) 442-2480.Contact Information
Primary practice address
1206 E National Ave
Brazil IN 47834-2718
Phone: (812) 442-2480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01039162 | Indiana |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01039162A | Indiana |
Profile Details
NPI number | 1316985179 |
---|---|
LBN Legal business name | Bailey, Roger B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2006 |
Last updated | Dec 19th, 2022 - about 2 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 | 1316985179 | NPPES |
Indiana | MEDICAID | 100252650A |
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