Bailes, Mac Gene
Bailes, Mac Gene is an individual health care provider with primary practice located at 100 Hoylman Dr , Gassaway WV 26624-9321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bailes, Mac Gene can be contacted via phone (304) 364-1060.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1100 | West Virginia |
Profile Details
| NPI number | 1023165123 |
|---|---|
| LBN Legal business name | Bailes, Mac Gene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1023165123 | NPPES |
| West Virginia | MEDICAID | 0041340000 |
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