Bailey, David Clark
Bailey, David Clark is an individual health care provider with primary practice located at 2810 Lurleen B Wallace Blvd , Northport AL 35476-3249. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bailey, David Clark can be contacted via phone (205) 333-7670.Contact Information
Primary practice address
2810 Lurleen B Wallace Blvd
Northport AL 35476-3249
Phone: (205) 333-7670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-077689 | Alabama |
Profile Details
| NPI number | 1356612873 |
|---|---|
| LBN Legal business name | Bailey, David Clark |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2012 |
| Last updated | Mar 2nd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356612873 | NPPES |
| Alabama | MEDICAID | 141939 | |
| Alabama | Other | 05527779 |
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