Bailey, Edith Proctor
Bailey, Edith Proctor is an individual health care provider with primary practice located at 2600 N Wyatt Dr Children'S Clinics, Tucson AZ 85712-6106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailey, Edith Proctor can be contacted via phone (520) 324-5437.Contact Information
Primary practice address
2600 N Wyatt Dr Children'S Clinics
Tucson AZ 85712-6106
Phone: (520) 324-5437
Fax: (520) 324-3129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19745 | Arizona |
Profile Details
| NPI number | 1962401513 |
|---|---|
| LBN Legal business name | Bailey, Edith Proctor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2005 |
| Last updated | Jan 9th, 2013 - about 13 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 | 1962401513 | NPPES |
| Arizona | MEDICAID | 125246 | |
| Arizona | Other | AZ0881600 |
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