Bacon, Cheryl D.

Bacon, Cheryl D. is an individual health care provider with primary practice located at 310 N. Causeway Suite 404, Metairie LA 70002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bacon, Cheryl D. can be contacted via phone (504) 779-5515.

Contact Information

Primary practice address
310 N. Causeway Suite 404 Metairie LA 70002
Phone: (504) 779-5515
Fax: (504) 454-7486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP03130 Louisiana

Profile Details

NPI number 1326022617
LBN Legal business name Bacon, Cheryl D.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Dec 14th, 2010 - about 14 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 1326022617 NPPES
Georgia Other P00397040 RAILROAD MEDICARE
Georgia MEDICAID 1694991 RAILROAD MEDICARE

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