Bailly, Daniel James

Bailly, Daniel James is an individual health care provider with primary practice located at 885 Mission St Se , Salem OR 97302-6222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bailly, Daniel James can be contacted via phone (503) 585-5585.

Contact Information

Primary practice address
885 Mission St Se Salem OR 97302-6222
Fax: (503) 587-7823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD12677 Oregon

Profile Details

NPI number 1710988696
LBN Legal business name Bailly, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Aug 13th, 2007 - about 17 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 1710988696 NPPES
Oregon MEDICAID 226811

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