Bacchus, Joanne N
Bacchus, Joanne N is an individual health care provider with primary practice located at 602 Hickory St West Suite, Abilene TX 79601-5044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bacchus, Joanne N can be contacted via phone (325) 704-5120.Contact Information
Primary practice address
602 Hickory St West Suite
Abilene TX 79601-5044
Phone: (325) 704-5120
Fax: (325) 704-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | J8199 | Texas |
Profile Details
| NPI number | 1548334139 |
|---|---|
| LBN Legal business name | Bacchus, Joanne N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Aug 26th, 2015 - about 9 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 | 1548334139 | NPPES |
| Texas | MEDICAID | 115869302 |
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