Healthcare Provider Details

I. General information

NPI: 1912796269
Provider Name (Legal Business Name): RACHEL LOUISE BAILEY DO, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2025
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FREDERICK LN # MSH2800
MORGANTOWN WV
26508-5402
US

IV. Provider business mailing address

1000 FREDERICK LN # MSH2800
MORGANTOWN WV
26508-5402
US

V. Phone/Fax

Practice location:
  • Phone: 304-285-5757
  • Fax: 304-285-5820
Mailing address:
  • Phone: 304-285-5757
  • Fax: 304-285-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number3338
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: