Bailey, Shelley
Bailey, Shelley is an individual health care provider with primary practice located at 3729 Teays Valley Rd Ste 100, Hurricane WV 25526-9705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bailey, Shelley can be contacted via phone (304) 760-6040.Contact Information
Primary practice address
3729 Teays Valley Rd Ste 100
Hurricane WV 25526-9705
Phone: (304) 760-6040
Fax: (304) 760-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21164 | West Virginia |
Profile Details
| NPI number | 1750341814 |
|---|---|
| LBN Legal business name | Bailey, Shelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 12th, 2020 - about 4 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 | 1750341814 | NPPES |
| Ohio | MEDICAID | 2511893 | |
| Ohio | MEDICAID | 1810211000 | |
| Ohio | Other | P00304367 |
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