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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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