Provider Demographics
NPI:1881650430
Name:BAILEY, MATTHEW CURTIS (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CURTIS
Last Name:BAILEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16846 W BELL RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3052
Mailing Address - Country:US
Mailing Address - Phone:623-556-2335
Mailing Address - Fax:623-556-9382
Practice Address - Street 1:16846 W BELL RD
Practice Address - Street 2:SUITE 112
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3052
Practice Address - Country:US
Practice Address - Phone:623-556-2335
Practice Address - Fax:623-556-9382
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002267A111N00000X
AZ6013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU79513Medicare UPIN
AZZ74358Medicare PIN