Bacon, Anthony Wayne
Bacon, Anthony Wayne is an individual health care provider with primary practice located at 30 N 1900 E Rm 3C344 , Salt Lake City UT 84132-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Bacon, Anthony Wayne can be contacted via phone (801) 585-1618.Contact Information
Primary practice address
30 N 1900 E Rm 3C344
Salt Lake City UT 84132-0002
Phone: (801) 585-1618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11275378-1205 | Utah |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 11275378-1205 | Utah |
Profile Details
| NPI number | 1154611986 |
|---|---|
| LBN Legal business name | Bacon, Anthony Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2011 |
| Last updated | Jun 10th, 2019 - about 6 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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