Bailey, Gary W
Bailey, Gary W is an individual health care provider with primary practice located at 2525 Burton St Se , Grand Rapids MI 49546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bailey, Gary W can be contacted via phone (616) 957-2410.Contact Information
Primary practice address
2525 Burton St Se
Grand Rapids MI 49546
Phone: (616) 957-2410
Fax: (616) 957-2411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101007477 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | GB007477 | Michigan |
Profile Details
| NPI number | 1245201490 |
|---|---|
| LBN Legal business name | Bailey, Gary W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | May 17th, 2018 - about 6 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 | 1245201490 | NPPES |
| Michigan | Other | 0154103875 | BCBSM ID |
| Michigan | MEDICAID | 1779765 | BCBSM ID |
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