Awadalla Bacon, Nicol Renee
Awadalla Bacon, Nicol Renee is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Awadalla Bacon, Nicol Renee can be contacted via phone (202) 476-5000.Contact Information
Primary practice address
111 Michigan Ave Nw
Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD046588 | District of Columbia |
Profile Details
| NPI number | 1104062454 |
|---|---|
| LBN Legal business name | Awadalla Bacon, Nicol Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2008 |
| Last updated | Oct 18th, 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.
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