Bailey, Justin
Bailey, Justin is an individual health care provider with primary practice located at 300 Kenton Dr Suite 100, Charleston WV 25311-1263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bailey, Justin can be contacted via phone (304) 346-5533.Contact Information
Primary practice address
300 Kenton Dr Suite 100
Charleston WV 25311-1263
Phone: (304) 346-5533
Fax: (304) 346-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20410 | West Virginia |
Profile Details
| NPI number | 1992784243 |
|---|---|
| LBN Legal business name | Bailey, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2006 |
| Last updated | Aug 7th, 2013 - about 13 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 | 1992784243 | NPPES |
| West Virginia | Other | 1447349238 | NPI NUMBER FOR GROUP |
| West Virginia | Other | DC7713 | NPI NUMBER FOR GROUP |
| West Virginia | Other | P00215125 | NPI NUMBER FOR GROUP |
| West Virginia | Other | 001706175 | NPI NUMBER FOR GROUP |
| West Virginia | MEDICAID | 3810001081 | NPI NUMBER FOR GROUP |
| West Virginia | Other | P00189318 | NPI NUMBER FOR GROUP |
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