Bartley, Damon Troy
Bartley, Damon Troy is an individual health care provider with primary practice located at 3019 N National Rd , Columbus IN 47201-3235. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bartley, Damon Troy can be contacted via phone (812) 314-7617.Contact Information
Primary practice address
3019 N National Rd
Columbus IN 47201-3235
Phone: (812) 314-7617
Fax: (812) 314-7618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50-003027 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10001498A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1601 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001498A | Indiana |
Profile Details
| NPI number | 1780846428 |
|---|---|
| LBN Legal business name | Bartley, Damon Troy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2008 |
| Last updated | May 7th, 2024 - about 2 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 | 1780846428 | NPPES |
| Tennessee | MEDICAID | 1508056 |
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