Bailey, Samuel A
Bailey, Samuel A is an individual health care provider with primary practice located at 6800 State Route 162 , Maryville IL 62062-8500. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bailey, Samuel A can be contacted via phone (800) 968-6866.Contact Information
Primary practice address
6800 State Route 162
Maryville IL 62062-8500
Phone: (800) 968-6866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 85001646 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 085-001646 | Illinois |
Profile Details
| NPI number | 1891778254 |
|---|---|
| LBN Legal business name | Bailey, Samuel A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Apr 24th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891778254 | NPPES |
| Illinois | Other | 085001646 | BLUE SHIELD |
Popular Providers
-
Schneider, Kimberly M
20B Professional Park Drive , Maryville IL 62062 -
Arnold, Arianne Elizabeth
10 Professional Park Dr , Maryville IL 62062-5672 -
Nosalik, Hailey
6812 State Route 162 Ste 120 , Maryville IL 62062-8586 -
Broaddus, Stephen M
6800 State Route 162 , Maryville IL 62062-8500 -
Barajas, Michael
6812 State Route 162 Suite 120, Maryville IL 62062-8553 -
Nebelung, Don
609 Liberty St , Clay Center KS 67432-1564 -
Gibson, Jessica Leigh
2704 N Center St , Maryville IL 62062-5624 -
Watson, Eric Michael
6800 State Route 162 , Maryville IL 62062-8521