Bailey, Charlene
Bailey, Charlene is an sole proprietor health care provider with primary practice located at 15501 Metropolitan Pkwy Ste110, Clinton Twp MI 48036-1684. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bailey, Charlene can be contacted via phone (586) 286-9720.Contact Information
Primary practice address
15501 Metropolitan Pkwy Ste110
Clinton Twp MI 48036-1684
Phone: (586) 286-9720
Fax: (586) 286-3134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601002587 | Michigan |
Profile Details
| NPI number | 1801975420 |
|---|---|
| LBN Legal business name | Bailey, Charlene |
| Credentials | P.A. C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Feb 11th, 2009 - about 17 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 | 1801975420 | NPPES |
| Michigan | Other | 550140 | BLUE CROSS BLUE SHIELD |
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