Bailey, Evan P

Bailey, Evan P is an individual health care provider with primary practice located at 55 Lake Ave N Pediatric Pulmonology, Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Bailey, Evan P can be contacted via phone (508) 856-4155.

Contact Information

Primary practice address
55 Lake Ave N Pediatric Pulmonology Worcester MA 01655-0002
Phone: (508) 856-4155
Fax: (508) 856-2609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 247765 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 247765 Massachusetts

Profile Details

NPI number 1720240047
LBN Legal business name Bailey, Evan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Nov 9th, 2020 - about 6 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 1720240047 NPPES
Massachusetts MEDICAID 110093403A
Massachusetts Other S400154811

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