Bayless, Jeanne Hansen
Bayless, Jeanne Hansen is an sole proprietor health care provider with primary practice located at 1034 N Willis St , Abilene TX 79603-4622. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bayless, Jeanne Hansen can be contacted via phone (325) 673-8164.Contact Information
Primary practice address
1034 N Willis St
Abilene TX 79603-4622
Phone: (325) 673-8164
Fax: (325) 673-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12014 | Texas |
Profile Details
| NPI number | 1568507887 |
|---|---|
| LBN Legal business name | Bayless, Jeanne Hansen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Nov 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568507887 | NPPES |
| Texas | MEDICAID | 0095853-01 | |
| Texas | MEDICAID | 1568507887 |
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