Bacon, Alfred E
Bacon, Alfred E is an individual health care provider with primary practice located at 78 Omega Dr Bldg C, Newark DE 19713-2064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bacon, Alfred E can be contacted via phone (302) 368-2883.Contact Information
Primary practice address
78 Omega Dr Bldg C
Newark DE 19713-2064
Phone: (302) 368-2883
Fax: (302) 368-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C10002927 | Delaware |
Profile Details
| NPI number | 1902967508 |
|---|---|
| LBN Legal business name | Bacon, Alfred E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 9th, 2019 - about 5 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 | 1902967508 | NPPES |
| Delaware | MEDICAID | 0000113601 |
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