Bacon, Alvin C

Bacon, Alvin C is an sole proprietor health care provider with primary practice located at 598 Great Rd Lower Level, North Smithfield RI 02896-6810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacon, Alvin C can be contacted via phone (401) 534-6784.

Contact Information

Primary practice address
598 Great Rd Lower Level North Smithfield RI 02896-6810
Phone: (401) 534-6784
Fax: (401) 534-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO 00461 Rhode Island

Profile Details

NPI number 1104836568
LBN Legal business name Bacon, Alvin C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Mar 7th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104836568 NPPES
Other 795932 USFHP
Other 400400 USFHP
Other 588384 USFHP
Other 2460971003 USFHP
Other 0100801 USFHP
MEDICAID 9025378 USFHP

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