Active NPIIndividual providerSole proprietor

Mr. Leeroy U Bailey Jr., MA

Counselor in Worcester, Massachusetts

NPI Number1063696656
Practice location
172 Lincoln St, Worcester, MA 01605-3750
Fax
508-770-0875
Last updated
December 19, 2007

Leeroy Uwain Bailey is a Counselor based in Worcester, MA. Leeroy Uwain Bailey practices in Worcester, MA and has the professional credentials of MA. The NPI Number for Leeroy Uwain Bailey is 1063696656. The current practice location address for Leeroy Uwain Bailey is 172 Lincoln St, Worcester, MA 01605-3750 and can be reached out via phone at 508-770-0511 and via fax at 508-770-0875.

Provider Profile Details

NPI Number
1063696656
Provider Name
Leeroy Uwain Bailey
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
172 Lincoln St, Worcester, MA 01605-3750
Phone Number
508-770-0511
Fax Number
508-770-0875
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2007
Last Update Date
December 19, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
172 Lincoln St
Worcester, MA 01605-3750
Zip
01605-3750
Phone Number
508-770-0511
Fax Number
508-770-0875
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
11 N Woodford St
Apt 3
Worcester, MA 01604-4531
City
Worcester
State
MA
Zip
01604-4531
Phone Number
518-669-1851

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Leeroy U Bailey Jr., MA?

The NPI number of Mr. Leeroy U Bailey Jr., MA is 1063696656. It was assigned on December 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Leeroy U Bailey Jr., MA?

Mr. Leeroy U Bailey Jr., MA is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Mr. Leeroy U Bailey Jr., MA practice?

The practice location is 172 Lincoln St, Worcester, MA 01605-3750. The office can be reached at 508-770-0511 (phone) or 508-770-0875 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063696656 directly on the NPPES registry website.

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