Bailey, Ronald Keith
Bailey, Ronald Keith is an sole proprietor health care provider with primary practice located at 921 E Broad Ave , Rockingham NC 28379-4338. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bailey, Ronald Keith can be contacted via phone (910) 639-6610.Contact Information
Primary practice address
921 E Broad Ave
Rockingham NC 28379-4338
Phone: (910) 639-6610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 103712 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0003059 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA053489 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA053489 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103712 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA053489 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 103712 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 103712 | North Carolina |
Profile Details
| NPI number | 1154352789 |
|---|---|
| LBN Legal business name | Bailey, Ronald Keith |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jan 5th, 2024 - about last year |
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 | 1154352789 | NPPES |
| Pennsylvania | Other | 50079769 | CAPITAL BLUE CROSS-WMG |
| Pennsylvania | Other | 2065854 | CAPITAL BLUE CROSS-WMG |
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