Bailey, Luna

Bailey, Luna is an individual health care provider with primary practice located at 2520 Aberdeen Blvd , Gastonia NC 28054-0635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Bailey, Luna can be contacted via phone (704) 868-8400.

Contact Information

Primary practice address
2520 Aberdeen Blvd Gastonia NC 28054-0635
Phone: (704) 868-8400
Fax: (704) 868-8400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 202212868 South Carolina
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 200401468 North Carolina

Profile Details

NPI number 1174577142
LBN Legal business name Bailey, Luna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 2nd, 2012 - about 12 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 1174577142 NPPES
South Carolina MEDICAID GP4146
South Carolina MEDICAID 5901043

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