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
Fax: (508) 875-5942
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669465787 NPPES
Massachusetts Other NP4520 BCBS
Massachusetts MEDICAID 30343465 BCBS

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