Bayani, Ayn Vincent Dejesus
Bayani, Ayn Vincent Dejesus is an sole proprietor health care provider with primary practice located at 200 Fairview Park Dr Suite B, Dublin GA 31021-2547. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bayani, Ayn Vincent Dejesus can be contacted via phone (478) 275-0792.Contact Information
Primary practice address
200 Fairview Park Dr Suite B
Dublin GA 31021-2547
Phone: (478) 275-0792
Fax: (478) 275-0713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 055470 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 055470 | Georgia |
Profile Details
| NPI number | 1952366114 |
|---|---|
| LBN Legal business name | Bayani, Ayn Vincent Dejesus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jan 6th, 2011 - about 15 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 | 1952366114 | NPPES |
| Georgia | MEDICAID | 555475686A | |
| Georgia | Other | P00200156 | |
| Georgia | Other | 0868802730 | |
| Georgia | MEDICAID | 555475686B | |
| Georgia | Other | 161839 |
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