Bailey, Timothy Silleck

Bailey, Timothy Silleck is an individual health care provider with primary practice located at 625 Citracado Pkwy Ste 108 , Escondido CA 92025-6428. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bailey, Timothy Silleck can be contacted via phone (760) 743-1431.

Contact Information

Primary practice address
625 Citracado Pkwy Ste 108 Escondido CA 92025-6428
Phone: (760) 743-1431
Fax: (760) 743-6455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G60763 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G60763 California

Profile Details

NPI number 1194800052
LBN Legal business name Bailey, Timothy Silleck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 16th, 2021 - about 3 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 1194800052 NPPES
Other W3171 PTAN FOR MEDICARE SOUTH
MEDICAID 00G60763 PTAN FOR MEDICARE SOUTH
Other ZZZ37242Z PTAN FOR MEDICARE SOUTH
Other AS316X PTAN FOR MEDICARE SOUTH

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