Bacon, Everett M

Bacon, Everett M is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bacon, Everett M can be contacted via phone (603) 354-6534.

Contact Information

Primary practice address
590 Court St Keene NH 03431-1719
Phone: (603) 354-6534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0014786 Vermont
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20544 New Hampshire

Profile Details

NPI number 1669827143
LBN Legal business name Bacon, Everett M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated Aug 18th, 2022 - about 2 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 1669827143 NPPES
Vermont Other 3040982 MVP
Vermont MEDICAID 3123907 MVP
Vermont Other 9735609 MVP
Vermont MEDICAID 6704425 MVP

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