Mailey, Brian A

Mailey, Brian A is an individual health care provider with primary practice located at 747 N Rutledge St 3Rd Floor, Springfield IL 62702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Mailey, Brian A can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
747 N Rutledge St 3Rd Floor Springfield IL 62702
Phone: (217) 545-8000
Fax: (217) 545-2588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-138547 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036-138547 Illinois

Profile Details

NPI number 1376717603
LBN Legal business name Mailey, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Nov 4th, 2020 - about 4 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 1376717603 NPPES
Illinois MEDICAID 036138547

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