Bacon, Elizabeth Ann
Bacon, Elizabeth Ann is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bacon, Elizabeth Ann can be contacted via phone (585) 922-4000.Contact Information
Primary practice address
1425 Portland Ave
Rochester NY 14621-3001
Phone: (585) 922-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 009497 | New York |
Profile Details
| NPI number | 1891806741 |
|---|---|
| LBN Legal business name | Bacon, Elizabeth Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891806741 | NPPES |
| New York | MEDICAID | 03126327 |
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