Ditmer, Bailey Iva

Ditmer, Bailey Iva is an individual health care provider with primary practice located at 111 Franklin Health Cmns , Farmington ME 04938-6144. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ditmer, Bailey Iva can be contacted via phone (207) 778-6031.

Contact Information

Primary practice address
111 Franklin Health Cmns Farmington ME 04938-6144
Phone: (207) 778-6031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101022976 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO3206 Maine

Profile Details

NPI number 1023545613
LBN Legal business name Ditmer, Bailey Iva
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated Jul 21st, 2022 - about 3 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 1023545613 NPPES
Michigan Other 5101024534 STATE LICENSE
Michigan Other DO3206 STATE LICENSE

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