Bagley-Ayres, Damon

Bagley-Ayres, Damon is an individual health care provider with primary practice located at 777 Lakeland Dr , Jackson MS 39216-4611. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Bagley-Ayres, Damon can be contacted via phone (601) 815-4844.

Contact Information

Primary practice address
777 Lakeland Dr Jackson MS 39216-4611
Phone: (601) 815-4844
Fax: (601) 815-4592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1497126775
LBN Legal business name Bagley-Ayres, Damon
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Jun 9th, 2016 - about 10 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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