Individual
JASON R BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 373-9935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
02004710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201330500
—
IN
Enumeration date
06/27/2008
Last updated
04/01/2025
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