Bacon, Dan Edward

Bacon, Dan Edward is an individual health care provider with primary practice located at 440 Winn Way , Decatur GA 30030-1715. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Bacon, Dan Edward can be contacted via phone (404) 294-3762.

Contact Information

Primary practice address
440 Winn Way Decatur GA 30030-1715
Phone: (404) 294-3762
Fax: (404) 508-7752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD002312 Georgia

Profile Details

NPI number 1598808032
LBN Legal business name Bacon, Dan Edward
Credentials RD,LD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
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.

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