Bartley, David M

Bartley, David M is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 202, Jackson MS 39216-4643. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bartley, David M can be contacted via phone (601) 362-1990.

Contact Information

Primary practice address
971 Lakeland Dr Suite 202 Jackson MS 39216-4643
Phone: (601) 362-1990
Fax: (601) 362-1988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R864484 Mississippi

Profile Details

NPI number 1255516126
LBN Legal business name Bartley, David M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Jan 3rd, 2011 - about 13 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 1255516126 NPPES
Mississippi Other R864484 RN LICENSE

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