Bayliss, Susan Joy

Bayliss, Susan Joy is an individual health care provider with primary practice located at 1 Childrens Pl Div Im Dermatology, Ste 2A And 2D, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bayliss, Susan Joy can be contacted via phone (314) 454-2714.

Contact Information

Primary practice address
1 Childrens Pl Div Im Dermatology, Ste 2A And 2D Saint Louis MO 63110-1002
Phone: (314) 454-2714
Fax: (833) 642-0691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R7N88 Missouri

Profile Details

NPI number 1477571974
LBN Legal business name Bayliss, Susan Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 21st, 2023 - about 3 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 1477571974 NPPES
Missouri MEDICAID 202910808

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