Bartley, Damon Troy

Bartley, Damon Troy is an individual health care provider with primary practice located at 3019 N National Rd , Columbus IN 47201-3235. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bartley, Damon Troy can be contacted via phone (812) 314-7617.

Contact Information

Primary practice address
3019 N National Rd Columbus IN 47201-3235
Phone: (812) 314-7617
Fax: (812) 314-7618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-003027 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001498A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1601 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001498A Indiana

Profile Details

NPI number 1780846428
LBN Legal business name Bartley, Damon Troy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated May 7th, 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 1780846428 NPPES
Tennessee MEDICAID 1508056

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