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NPI Code Detail

MEDICARE: DR. JARROD WAYNE BAILEY D.C.

MEDICARE: DR. JARROD WAYNE BAILEY D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301009724MI

General Provider Information

NPI Number : 1851609200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARROD WAYNE BAILEY D.C.
Provider Business Mailing Address
First Line : 1016 N SAGINAW ST
Second Line : SUITE C
City : HOLLY
State : MI
Zip : 48442-1379
Country : US
Telephone Number : 248-328-9800
Fax Number : 248-328-9801
Provider Business Practice Location Address
First Line : 1016 N SAGINAW ST
Second Line : SUITE C
City : HOLLY
State : MI
Zip : 48442-1379
Country : US
Telephone Number : 248-328-9800
Fax Number : 248-328-9801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2010
Last Update Date : 06/02/2014

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