Bacon, Carl William

Bacon, Carl William is an individual health care provider with primary practice located at 1055 N 500 W Suite 121, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bacon, Carl William can be contacted via phone (801) 373-7350.

Contact Information

Primary practice address
1055 N 500 W Suite 121 Provo UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 181471-1205 Utah

Profile Details

NPI number 1962505750
LBN Legal business name Bacon, Carl William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962505750 NPPES
Utah Other 107007443103 IHC
Utah Other 68078 IHC
Utah Other 09-00096 IHC
Utah Other 20045128 IHC
Utah Other 870281028BAC IHC

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