Baillis, Bryan Daniel

Baillis, Bryan Daniel is an individual health care provider with primary practice located at 5779 Wooster Pike , Medina OH 44256-8816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Baillis, Bryan Daniel can be contacted via phone (330) 725-0569.

Contact Information

Primary practice address
5779 Wooster Pike Medina OH 44256-8816
Phone: (330) 725-0569
Fax: (330) 662-0258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35.132996 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35.132996 Ohio

Profile Details

NPI number 1699193508
LBN Legal business name Baillis, Bryan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2014
Last updated Oct 31st, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699193508 NPPES
Ohio MEDICAID 0329928

Popular Providers