Bailey, Gordon R
Bailey, Gordon R is an sole proprietor health care provider with primary practice located at 512 E Columbus Ave , Corry PA 16407-9014. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Bailey, Gordon R can be contacted via phone (814) 664-9346.Contact Information
Primary practice address
512 E Columbus Ave
Corry PA 16407-9014
Phone: (814) 664-9346
Fax: (814) 663-0169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT009652L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT009652L | Pennsylvania |
Profile Details
| NPI number | 1881667467 |
|---|---|
| LBN Legal business name | Bailey, Gordon R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jan 27th, 2010 - about 15 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 | 1881667467 | NPPES |
| New York | Other | 00025292701 | LEGACY NUMBER - UNIVERA |
| New York | Other | 457211 | LEGACY NUMBER - UNIVERA |
| New York | Other | 9390591 | LEGACY NUMBER - UNIVERA |
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