Bacon, Alyssa

Bacon, Alyssa is an sole proprietor health care provider with primary practice located at N91W17194 Appleton Ave Ste 204 , Menomonee Falls WI 53051-2083. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bacon, Alyssa can be contacted via phone (414) 502-7780.

Contact Information

Primary practice address
N91W17194 Appleton Ave Ste 204 Menomonee Falls WI 53051-2083
Phone: (414) 502-7780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 134382-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 134382-121 Wisconsin

Profile Details

NPI number 1225717945
LBN Legal business name Bacon, Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2023
Last updated Jul 12th, 2023 - about last year

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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