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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1952366114 NPPES
Georgia MEDICAID 555475686A
Georgia Other P00200156
Georgia Other 0868802730
Georgia MEDICAID 555475686B
Georgia Other 161839

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