Bacon, Geoffrey

Bacon, Geoffrey is an individual health care provider with primary practice located at 901 Enterprise Parkway Suite 300, Hampton VA 23666-2583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bacon, Geoffrey can be contacted via phone (757) 825-2500.

Contact Information

Primary practice address
901 Enterprise Parkway Suite 300 Hampton VA 23666-2583
Phone: (757) 825-2500
Fax: (757) 825-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101048019 Virginia

Profile Details

NPI number 1407856610
LBN Legal business name Bacon, Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 9th, 2020 - about 5 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 1407856610 NPPES
Virginia Other 235056 ANTHEM
Virginia MEDICAID 006502415 ANTHEM

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