Bacon, Amanda Mary

Bacon, Amanda Mary is an sole proprietor health care provider with primary practice located at 304 Glengary Rd , Schenectady NY 12304-4772. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bacon, Amanda Mary can be contacted via phone (518) 577-5698.

Contact Information

Primary practice address
304 Glengary Rd Schenectady NY 12304-4772
Phone: (518) 577-5698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 327227 New York

Profile Details

NPI number 1053862847
LBN Legal business name Bacon, Amanda Mary
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2016
Last updated Oct 17th, 2016 - about 8 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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