Bacon, James P.

Bacon, James P. is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bacon, James P. can be contacted via phone (419) 524-8151.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 524-8151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-05-0204-B Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35.050204 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.050204 Ohio

Profile Details

NPI number 1063413474
LBN Legal business name Bacon, James P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 8th, 2023 - about last year

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 1063413474 NPPES
Ohio MEDICAID 0687092

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