Bacon, Carley Jean

Bacon, Carley Jean is an individual health care provider with primary practice located at 701 Dellwood St S , Cambridge MN 55008-1920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bacon, Carley Jean can be contacted via phone (763) 689-8700.

Contact Information

Primary practice address
701 Dellwood St S Cambridge MN 55008-1920
Phone: (763) 689-8700
Fax: (763) 688-7941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA12540 Texas

Profile Details

NPI number 1316417157
LBN Legal business name Bacon, Carley Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2018
Last updated Jan 4th, 2024 - 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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