Bacon, Jaime Lee
Bacon, Jaime Lee is an sole proprietor health care provider with primary practice located at 2085 E Dakota Ave , Fresno CA 93726-4804. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Bacon, Jaime Lee can be contacted via phone (559) 453-4405.Contact Information
Primary practice address
2085 E Dakota Ave
Fresno CA 93726-4804
Phone: (559) 453-4405
Fax: (559) 453-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1619103355 |
|---|---|
| LBN Legal business name | Bacon, Jaime Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Jun 9th, 2009 - about 15 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 | 1619103355 | NPPES |
| California | MEDICAID | 251B00000X |
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