Bacon, David

Bacon, David is an individual health care provider with primary practice located at 11000 E 45Th Ave , Denver CO 80239-3004. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bacon, David can be contacted via phone (303) 404-4022.

Contact Information

Primary practice address
11000 E 45Th Ave Denver CO 80239-3004
Phone: (303) 404-4022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 24614 Colorado

Profile Details

NPI number 1245446707
LBN Legal business name Bacon, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245446707 NPPES
Colorado MEDICAID 76079538

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