Bacon, Ian

Bacon, Ian is an individual health care provider with primary practice located at 4510 27Th St , Lubbock TX 79410-1709. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bacon, Ian can be contacted via phone (806) 795-4368.

Contact Information

Primary practice address
4510 27Th St Lubbock TX 79410-1709
Phone: (806) 795-4368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2125070 Texas

Profile Details

NPI number 1215476890
LBN Legal business name Bacon, Ian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2017
Last updated Feb 16th, 2017 - about 8 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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