Bailey, Timothy S
Bailey, Timothy S is an sole proprietor health care provider with primary practice located at 1 Memorial Dr Ste 300 , Decatur IL 62526-6322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bailey, Timothy S can be contacted via phone (217) 876-5500.Contact Information
Primary practice address
1 Memorial Dr Ste 300
Decatur IL 62526-6322
Phone: (217) 876-5500
Fax: (217) 876-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036081501 | Illinois |
Profile Details
| NPI number | 1053378976 |
|---|---|
| LBN Legal business name | Bailey, Timothy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 20th, 2021 - 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 | 1053378976 | NPPES |
| Illinois | MEDICAID | 036081501 |
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