Bacon, Chelsye R
Bacon, Chelsye R is an sole proprietor health care provider with primary practice located at 5401 Sw 29Th St , Oklahoma City OK 73179-7602. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Bacon, Chelsye R can be contacted via phone (405) 686-7828.Contact Information
Primary practice address
5401 Sw 29Th St
Oklahoma City OK 73179-7602
Phone: (405) 686-7828
Fax: (405) 686-7827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 318512 | Oklahoma |
Profile Details
| NPI number | 1417473521 |
|---|---|
| LBN Legal business name | Bacon, Chelsye R |
| Credentials | CMII |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2017 |
| Last updated | Mar 4th, 2024 - about 8 months 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 | 1417473521 | NPPES |
| Oklahoma | MEDICAID | 200879420K |
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