Bacon, Colleen Marie

Bacon, Colleen Marie is an individual health care provider with primary practice located at 30210 Rancho Viejo Rd , San Juan Capistrano CA 92675-1574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bacon, Colleen Marie can be contacted via phone (949) 493-7337.

Contact Information

Primary practice address
30210 Rancho Viejo Rd San Juan Capistrano CA 92675-1574
Phone: (949) 493-7337
Fax: (949) 493-1418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 357546 California

Profile Details

NPI number 1184903270
LBN Legal business name Bacon, Colleen Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated May 26th, 2022 - about 2 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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