Provider Demographics
NPI:1447786116
Name:NORMAN J. BAILEY SR DC
Entity Type:Organization
Organization Name:NORMAN J. BAILEY SR DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-355-2455
Mailing Address - Street 1:820 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4272
Mailing Address - Country:US
Mailing Address - Phone:215-355-2455
Mailing Address - Fax:215-355-2737
Practice Address - Street 1:820 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4272
Practice Address - Country:US
Practice Address - Phone:215-355-2455
Practice Address - Fax:215-355-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001116L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty