Individual
JAMES L BAILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL BLVD., JEFFERSONVILLE, IN 47130-3748
(812) 282-3899
(812) 282-4173
Mailing address
101 HOSPITAL BLVD., JEFFERSONVILLE, IN 47130-3748
(812) 282-3899
(812) 282-4173
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01029149A
IN
208800000X
Urology Physician
16906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362060
—
IN
01
—
340004941
RR MCR
KY
01
—
340008066
RR MCR
IN
05
—
64169063
—
KY
Enumeration date
10/04/2005
Last updated
01/17/2022
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