Bailey, Shawn J
Bailey, Shawn J is an individual health care provider with primary practice located at 5345 Spring Street , Davenport IA 52807-0000. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bailey, Shawn J can be contacted via phone (563) 359-1601.Contact Information
Primary practice address
5345 Spring Street
Davenport IA 52807-0000
Phone: (563) 359-1601
Fax: (563) 355-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7534 | Iowa |
Profile Details
| NPI number | 1003875857 |
|---|---|
| LBN Legal business name | Bailey, Shawn J |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2010 - about 15 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 | 1003875857 | NPPES |
| Iowa | MEDICAID | 2176925 | |
| Iowa | MEDICAID | 1176925 |
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