Sean B Bailey
Otolaryngologist (ENT Doctor)
1011 Bowles Ave Suite 405
Fenton
, Missouri 63026-2395
Sean B Bailey
Otolaryngologist (ENT Doctor)
1011 Bowles Ave Suite 405
Fenton
, Missouri 63026-2395
(314) 984-8019
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Sean B Bailey
- Po Box 790379
- Saint Louis, MO
- Zip : 63179-0379
- Fax : (314) 984-8019
- Phone : (314) 965-9184
Second Address
- Sean B Bailey
- 1011 Bowles Ave Suite 405
- Fenton, MO
- Zip : 63026-2395
- Fax : (314) 984-8019
- Phone : (314) 965-9184
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 100682 | MO |
National Provider Identifier
| NPI | 1013908714 |
|---|---|
| Provider Name | Sean B Bailey |
| First Address | Saint Louis, MO 63179-0379 |
| Second Address | Fenton, MO 63026-2395 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 19/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G78676 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.