Bayliss, Susan Joy
Bayliss, Susan Joy is an individual health care provider with primary practice located at 1 Childrens Pl Div Im Dermatology, Ste 2A And 2D, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bayliss, Susan Joy can be contacted via phone (314) 454-2714.Contact Information
Primary practice address
1 Childrens Pl Div Im Dermatology, Ste 2A And 2D
Saint Louis MO 63110-1002
Phone: (314) 454-2714
Fax: (833) 642-0691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | R7N88 | Missouri |
Profile Details
| NPI number | 1477571974 |
|---|---|
| LBN Legal business name | Bayliss, Susan Joy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 21st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477571974 | NPPES |
| Missouri | MEDICAID | 202910808 |
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