Bailey, Thomas

Bailey, Thomas is an individual health care provider with primary practice located at 175 Philpott Ln , Beaver WV 25813-9501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Bailey, Thomas can be contacted via phone (304) 254-9262.

Contact Information

Primary practice address
175 Philpott Ln Beaver WV 25813-9501
Phone: (304) 254-9262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 17538 West Virginia

Profile Details

NPI number 1659359396
LBN Legal business name Bailey, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Oct 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659359396 NPPES
West Virginia Other 001718055 WV BCBS
West Virginia Other 1053229 WV BCBS
West Virginia Other 17538 WV BCBS
West Virginia MEDICAID 1801525000 WV BCBS

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