Individual
MARVIN JAY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
308 S MAIN ST, JONESBORO, IN 46938-1113
(765) 674-7231
(765) 674-3640
Mailing address
308 S MAIN ST, JONESBORO, IN 46938-1113
(765) 674-7231
(765) 674-3640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7085426
BLUE CROSS
IN
Enumeration date
10/23/2006
Last updated
07/08/2007
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