Bailey, Susan A,
Bailey, Susan A, is an sole proprietor health care provider with primary practice located at 1580 Valencia St Ste 201 , San Francisco CA 94110-4420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Bailey, Susan A, can be contacted via phone (415) 550-4711.Contact Information
Primary practice address
1580 Valencia St Ste 201
San Francisco CA 94110-4420
Phone: (415) 550-4711
Fax: (415) 282-6703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G29612 | California |
Profile Details
NPI number | 1487742425 |
---|---|
LBN Legal business name | Bailey, Susan A, |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Oct 3rd, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487742425 | NPPES |
California | MEDICAID | 00G296120 |
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