Bacon, Erika Gore
Bacon, Erika Gore is an sole proprietor health care provider with primary practice located at 16 Kingsford Rd , Hanover NH 03755-2210. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bacon, Erika Gore can be contacted via phone (603) 643-6013.Contact Information
Primary practice address
16 Kingsford Rd
Hanover NH 03755-2210
Phone: (603) 643-6013
Fax: (603) 646-9450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000421 | Vermont |
Profile Details
NPI number | 1235351032 |
---|---|
LBN Legal business name | Bacon, Erika Gore |
Credentials | MA, ATR-BC, LCMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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