Bailey, Wendell L

Bailey, Wendell L is an individual health care provider with primary practice located at 301 Gordon Gutmann Blvd Ste 401 , Jeffersonville IN 47130-3768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bailey, Wendell L can be contacted via phone (812) 282-0637.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Ste 401 Jeffersonville IN 47130-3768
Phone: (812) 282-0637
Fax: (812) 283-6330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056123A Indiana

Profile Details

NPI number 1275528531
LBN Legal business name Bailey, Wendell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 23rd, 2024 - about last year

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 1275528531 NPPES
Kentucky MEDICAID 64266612
Kentucky MEDICAID 200360650
Kentucky Other 01056123B
Kentucky Other 01056123A

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