Bacon, Carolyn G
Bacon, Carolyn G is an individual health care provider with primary practice located at 99 Lincoln St 2Nd Floor, Framingham MA 01702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Bacon, Carolyn G can be contacted via phone (508) 875-4811.Contact Information
Primary practice address
99 Lincoln St 2Nd Floor
Framingham MA 01702
Phone: (508) 875-4811
Fax: (508) 875-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 190578 | Massachusetts |
Profile Details
| NPI number | 1669465787 |
|---|---|
| LBN Legal business name | Bacon, Carolyn G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669465787 | NPPES |
| Massachusetts | Other | NP4520 | BCBS |
| Massachusetts | MEDICAID | 30343465 | BCBS |
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