Organization
JEFFREY D BAILEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BAILEY CRNA (OWNER)
(440) 257-6752
Entity
Organization
Contact information
Practice address
5315 LENORE DR, MENTOR, OH 44060-1650
(440) 257-6752
(216) 928-0141
Mailing address
5315 LENORE DR, MENTOR, OH 44060-1650
(440) 257-6752
(216) 928-0141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918672
—
OH
01
—
280601212-00
OHO BWC#
OH
Enumeration date
02/16/2007
Last updated
08/22/2020
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