Bayless, Jake Hamilton
Bayless, Jake Hamilton is an individual health care provider with primary practice located at 10905 Providence Rd W Ste G200, Charlotte NC 28277-1538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bayless, Jake Hamilton can be contacted via phone (980) 488-4900.Contact Information
Primary practice address
10905 Providence Rd W Ste G200
Charlotte NC 28277-1538
Phone: (980) 488-4900
Fax: (980) 488-4905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | LL40693 | South Carolina |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2023-03317 | North Carolina |
Profile Details
NPI number | 1124558135 |
---|---|
LBN Legal business name | Bayless, Jake Hamilton |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2017 |
Last updated | Mar 25th, 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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