Bacon, Elizabeth Ann
Bacon, Elizabeth Ann is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Bacon, Elizabeth Ann can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 34.009107 | Ohio |
Profile Details
| NPI number | 1205816303 |
|---|---|
| LBN Legal business name | Bacon, Elizabeth Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Oct 6th, 2023 - about last year |
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 | 1205816303 | NPPES |
| Ohio | MEDICAID | 0064748 |
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