Bayles, Lisa H

Bayles, Lisa H is an individual health care provider with primary practice located at 10231 Old Ocean City Blvd Suite 210, Berlin MD 21811-3568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bayles, Lisa H can be contacted via phone (410) 629-6870.

Contact Information

Primary practice address
10231 Old Ocean City Blvd Suite 210 Berlin MD 21811-3568
Phone: (410) 629-6870
Fax: (410) 641-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R060296 Maryland

Profile Details

NPI number 1093704553
LBN Legal business name Bayles, Lisa H
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Oct 10th, 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 1093704553 NPPES
Maryland MEDICAID 552105000

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