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:
Health care specialties
Specialty | Code | License # | 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 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 | 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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