Bailey, Russell C

Bailey, Russell C is an individual health care provider with primary practice located at 1221 Lee Street Ground Floor , Charlottesville VA 22908-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Bailey, Russell C can be contacted via phone (434) 924-2706.

Contact Information

Primary practice address
1221 Lee Street Ground Floor Charlottesville VA 22908-0001
Fax: (434) 924-9068
Website:

Profile Details

NPI number 1871784892
LBN Legal business name Bailey, Russell C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Feb 15th, 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 1871784892 NPPES
North Carolina MEDICAID 5916309
North Carolina MEDICAID NC1494

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