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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356612873 NPPES
Alabama MEDICAID 141939
Alabama Other 05527779

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