Bailey, Michael Scott

Bailey, Michael Scott is an individual health care provider with primary practice located at 207 Sparks Ave Ste 402 , Jeffersonville IN 47130-3739. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bailey, Michael Scott can be contacted via phone (502) 587-8000.

Contact Information

Primary practice address
207 Sparks Ave Ste 402 Jeffersonville IN 47130-3739
Phone: (502) 587-8000
Fax: (502) 587-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2018 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC415 Kentucky

Profile Details

NPI number 1811364250
LBN Legal business name Bailey, Michael Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2015
Last updated Aug 30th, 2021 - about 5 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 1811364250 NPPES
Kentucky Other PA2018 LICENSE
Kentucky Other 10003290A LICENSE
Kentucky MEDICAID 7100383320 LICENSE

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