National Provider Identifier Database

MICHELLE M BAILEY, PA-C – NPI #1578003802
Surgical


Contact Information

MICHELLE M BAILEY, PA-C
13170 RAVENNA ROAD
SUITE 200
CHARDON, OH44024
Phone: 844-542-6363
Fax: 440-279-1582
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for MICHELLE M BAILEY

NPI Number 1578003802
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/06/2017
Last updated 03/01/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 50.004977RX
  • OH Medicaid: 0211306
  • OH Other: H507850 MEDICARE
  • OH Other: H507851 MEDICARE
Hospital affiliation n/a

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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