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Contact Information

JEFFERY M BAILES, PA-C
215 5TH ST
MARIETTA, OH45750-4033
 Phone: 740-376-4341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEFFERY M BAILES · (Male)

NPI Number 1720155914
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/30/2006
Last updated 08/06/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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